Individual
MARY GEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5537
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
283112
NY
207V00000X
Obstetrics & Gynecology Physician
283112
NY
Other
Enumeration date
06/19/2013
Last updated
09/24/2020
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