Individual
JANE KOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 S SALINA ST, SYRACUSE, NY 13202-3524
(315) 421-7479
(315) 473-9853
Mailing address
610 S SALINA ST, SYRACUSE, NY 13202-3524
(315) 421-7479
(315) 473-9853
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163572
NY
2084P0805X
Geriatric Psychiatry Physician
163572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377100
—
NY
Enumeration date
08/24/2006
Last updated
07/14/2010
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