Individual
MIRON A IOSILEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
742 JAMES ST, MENTAL HEALTH SERVICES, SYRACUSE, NY 13203
(315) 703-2700
(315) 703-2730
Mailing address
742 JAMES ST, MENTAL HEALTH SERVICES, SYRACUSE, NY 13203
(315) 703-2700
(315) 703-2730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1727451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01125800
—
NY
Enumeration date
05/17/2006
Last updated
05/06/2014
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