Individual
JAMAL K KACYRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 CONKEY AVE, SUITE 301, NORWICH, NY 13815
(607) 334-5772
(607) 334-1922
Mailing address
26 CONKEY AVE, SUITE 301, NORWICH, NY 13815
(607) 334-5772
(607) 334-1922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
155373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00783160
—
NY
Enumeration date
10/19/2006
Last updated
07/08/2007
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