Individual
JENNIFER ANNE NEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SUNY UPSTATE MEDICAL UNIVERSITY, DEPT OF PEDIATRICS, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Mailing address
750 E ADAMS ST, SUNY UPSTATE MEDICAL UNIVERSITY, DEPT OF PEDIATRICS, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011009253
MO
208000000X
Pediatrics Physician
Primary
265546
NY
208000000X
Pediatrics Physician
N3206
TX
208M00000X
Hospitalist Physician
265546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03468155
—
NY
Enumeration date
04/20/2007
Last updated
09/14/2012
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