Individual
JACK MULVIHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 CANTERBURY RD, SYRACUSE, NY 13214-2243
(315) 956-3215
Mailing address
174 CANTERBURY RD, SYRACUSE, NY 13214-2243
(315) 956-3215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
02/23/2023
Last updated
05/08/2025
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