Organization
SYRACUSE GASTROENTEROLOGICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H KASOWITZ M.D (PRESIDENT)
(315) 234-4818
Entity
Organization
Contact information
Practice address
8100 OSWEGO RD, SUITE 140, LIVERPOOL, NY 13090-1654
(315) 234-4818
(315) 234-4807
Mailing address
5000 CAMPUSWOOD DR, SUITE 200, SYRACUSE, NY 13210-1746
(315) 234-4818
(315) 234-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440157
—
NY
Enumeration date
04/23/2007
Last updated
07/09/2024
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