Individual
CASEY MITCHELL TYMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 807-7485
Mailing address
225 DESILVA ST, MINOA, NY 13116-1507
(315) 807-7485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
308855
NY
Other
Enumeration date
05/24/2017
Last updated
05/28/2021
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