Individual
AJAY JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 HARRISON ST, SUITE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6252
Mailing address
550 HARRISON ST, SUITE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
272673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03757531
—
NY
Enumeration date
09/25/2006
Last updated
02/21/2014
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