Individual
ROBERT D KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 E GENESEE ST, SUITE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
Mailing address
792 N MAIN ST, STE 100B, NORTH SYRACUSE, NY 13212-1661
(315) 471-1044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689672230
NPI
NY
Enumeration date
07/08/2005
Last updated
09/11/2018
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