Individual
RALPH H JANICKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD MD FACC
Contact information
Practice address
1000 E GENESEE ST, SUITE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312
Mailing address
1000 E GENESEE ST, SUITE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
126330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00558489
—
NY
Enumeration date
09/27/2005
Last updated
03/07/2023
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