Individual
KIRANPREET ASHLEY DHOTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332563
NY
Other
Enumeration date
07/14/2021
Last updated
03/05/2025
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