Individual
JEFFREY A KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
736 IRVING AVE, 5 WEST TOWER ROOM 5632, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
736 IRVING AVE, 5 WEST TOWER ROOM 5632, SYRACUSE, NY 13210-1687
(315) 470-7111
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004183-1
NY
Other
Enumeration date
11/14/2006
Last updated
01/12/2010
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