Individual
JULIAN S.F. AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054201-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03075692
—
NY
Enumeration date
12/15/2008
Last updated
08/27/2013
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