Individual
KEILA SIOMARA MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 UNION AVE STE 804, SYRACUSE, NY 13203-1844
(315) 370-3505
(315) 703-2424
Mailing address
104 UNION AVE STE 804, SYRACUSE, NY 13203-1844
(315) 703-5050
(315) 703-2424
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
283007
NY
Other
Enumeration date
03/28/2014
Last updated
03/11/2022
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