Individual
MICHAEL JAMES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5639 W GENESEE STREET, CAMILLUS, NY 13031
(315) 468-6888
Mailing address
1001 W FAYETTE STREET, STE 400, SYRACUSE, NY 13204
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
154623
NY
207YS0012X
Sleep Medicine (Otolaryngology) Physician
154623
NY
207YX0602X
Otolaryngic Allergy Physician
Primary
154623
NY
Other
Enumeration date
11/17/2005
Last updated
05/27/2011
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