Individual
DR. JEFFREY KARL VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4806
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4806
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001620
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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