Individual
CARLY JEAN DEIHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
750 E ADAMS STREET, SYRACUSE, NY 13210
Mailing address
373 W 1ST ST APT 3, ELMIRA, NY 14901-2667
(717) 606-6459
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
335259
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2022
Last updated
07/21/2025
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