Individual
DR. KYRIL CHOUMAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, STE 4835, SYRACUSE, NY 13210
(315) 464-1800
(315) 464-6238
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2096
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
21593
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006121
—
WV
01
—
P00424422
RAILROAD MEDICARE
WV
Enumeration date
09/05/2006
Last updated
04/07/2016
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