Individual
SOPHIA RUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 PROSPECT AVE, SURGICAL PA OFFICE ROOM 4202, SYRACUSE, NY 13203-1807
(315) 448-2876
Mailing address
301 PROSPECT AVE, SURGICAL PA OFFICE ROOM 4202, SYRACUSE, NY 13203-1807
(315) 448-2876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011405-1
NY
Other
Enumeration date
11/09/2006
Last updated
03/24/2021
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