Individual
JIWAN CHAPAGAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 278-6638
Mailing address
321 HIGHLAND AVE, SYRACUSE, NY 13203-1607
(315) 278-6638
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306957-1
NY
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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