Individual
DR. KYLE IVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
1001 HOFFMAN ST, ELMIRA, NY 14905-1605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
332565
NY
Other
Enumeration date
04/10/2021
Last updated
10/25/2024
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