Individual
SHAHRAM IZADYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 PRESIDENTIAL PLZ, 4TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4243
(315) 464-5350
Mailing address
90 PRESIDENTIAL PLZ, 4TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4243
(315) 464-5350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
264552
NY
2084N0600X
Clinical Neurophysiology Physician
Primary
264552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03462140
—
NY
Enumeration date
10/13/2008
Last updated
08/21/2013
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