Individual
CHRISTINA LYN MILBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7411
Mailing address
6919 KASSONTA DR, JAMESVILLE, NY 13078-9600
(315) 470-7411
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016051
NY
Other
Enumeration date
10/25/2012
Last updated
02/02/2022
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