Individual
DR. MARY ELIZABETH VEEDER-CIVITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 E GENESEE ST, SUITE 323, SYRACUSE, NY 13202-3130
(315) 476-1645
(315) 476-5640
Mailing address
600 E GENESEE ST, SUITE 323, SYRACUSE, NY 13202-3130
(315) 476-1645
(315) 476-5640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
144217-1
NY
208M00000X
Hospitalist Physician
144217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00904123
—
NY
Enumeration date
01/23/2006
Last updated
10/03/2008
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