Individual
JEFFREY S MACDANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-3165
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
301357
NY
2084P0804X
Child & Adolescent Psychiatry Physician
301357
NY
Other
Enumeration date
04/01/2009
Last updated
12/16/2025
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