Organization
CNY EAR NOSE THROAT CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAHADY SMITH FNP (FAMILY NURSE PRACTITIONER)
(315) 476-3124
Entity
Organization
Contact information
Practice address
1100 E GENESEE ST, SYRACUSE, NY 13210
(315) 476-3124
(315) 476-3136
Mailing address
1100 E GENESEE ST, SYRACUSE, NY 13210
(315) 476-3124
(315) 476-3136
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
06/30/2008
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