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Individual

JIRI BEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 HARRISON ST, STE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6238
Mailing address
550 HARRISON ST, STE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6238

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
233881
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
233881
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02354727
NY
Enumeration date
05/11/2006
Last updated
08/29/2008
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