Individual
MISS JAINTY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 PROSPECT AVENUE, SYRACUSE, NY 13203
(315) 448-5111
(315) 703-5079
Mailing address
104 UNION AVENUE, SUITE 804, SYRACUSE, NY 13203
(315) 703-5049
(315) 703-5079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018118
NY
Other
Enumeration date
09/30/2014
Last updated
11/17/2014
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