Individual
DORSHEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 GIFFORD ST, SYRACUSE, NY 13204-3201
(315) 703-2600
Mailing address
321 GIFFORD ST, SYRACUSE, NY 13204-3201
(315) 703-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332383
NY
Other
Enumeration date
04/01/2021
Last updated
08/13/2024
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