Individual
VANDANA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
Mailing address
163 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 469-1130
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
266449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03754914
—
NY
Enumeration date
12/22/2008
Last updated
04/24/2019
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