Individual
JAYANDRA VIGNARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1578948527
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2015
Last updated
01/04/2022
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