Individual
MRS. JESSICA LYNN DEMAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 WAVERLY AVENUE, SYRACUSE, NY 13244
(315) 443-9005
Mailing address
111 WAVERLY AVENUE, SYRACUSE, NY 13244
(315) 443-9005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017667
NY
Other
Enumeration date
07/14/2014
Last updated
03/16/2017
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