Organization
ENDOCRINOLOGY, DIABETES & METABOLISM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRIWAN A MIRZA M.D. (OWNER)
(315) 253-2669
Entity
Organization
Contact information
Practice address
399 GRANT AVENUE RD, AUBURN, NY 13021-8202
(315) 253-2669
(315) 282-0077
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5607
(315) 701-5608
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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