Individual
MANEESH BISEN
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) 464-5240
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
317622
NY
208M00000X
Hospitalist Physician
Primary
317622
NY
Other
Enumeration date
05/01/2019
Last updated
08/10/2022
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