Individual
DR. JENNIFER HELEN MYSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, PHD
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5450
(315) 464-6322
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
278005
NY
208000000X
Pediatrics Physician
UNKNOWN
NY
208M00000X
Hospitalist Physician
Primary
278005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04224571
—
NY
Enumeration date
06/01/2012
Last updated
10/10/2018
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