Individual
KAVITHA M PREZZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
(315) 634-4677
Mailing address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
(315) 634-4677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
302766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302766
NYS LICENSE
NY
Enumeration date
04/28/2015
Last updated
05/15/2020
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