Individual
DR. JAMA LORYNN PEACOCK BIRSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
68 WEST AVE STE 3, SARATOGA SPRINGS, NY 12866-6044
(518) 450-9180
(518) 886-1690
Mailing address
PO BOX 159, GREENFIELD CENTER, NY 12833-0159
(518) 450-9180
(518) 886-1690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239931
NYC LICENSE
NY
Enumeration date
06/14/2006
Last updated
03/07/2023
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