Individual
JENNIFER A SOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 741-0998
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 741-0998
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01267972
—
NY
Enumeration date
12/21/2005
Last updated
02/10/2016
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