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Individual

SUCHITRA KAVETY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
792 1/2 N MAIN ST, NORTH SYRACUSE, NY 13212-1670
(315) 701-0500
(315) 701-3650
Mailing address
792 N MAIN ST, SUITE 100A, NORTH SYRACUSE, NY 13212-1644
(315) 423-9722
(315) 423-9687

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2112921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02172109
NY
Enumeration date
10/27/2005
Last updated
03/18/2010
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