Organization
SYRACUSE MEDICAL PC
Active
Other names
SYRACUSE MEDICAL & AESTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEMILLE SMITH MD (OWNER)
(315) 622-0102
Entity
Organization
Contact information
Practice address
3452 STATE ROUTE 31, STE 3, BALDWINSVILLE, NY 13027-9231
(315) 622-0102
(315) 622-0112
Mailing address
3452 STATE ROUTE 31, STE 3, BALDWINSVILLE, NY 13027-9231
(315) 622-0102
(315) 622-0112
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
10/17/2014
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