Individual
JACOB PAUL MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 STATE ST, UTICA, NY 13502-4208
(315) 917-9966
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 801-8848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
329289
NY
Other
Enumeration date
03/23/2018
Last updated
12/03/2024
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