Individual
PRATIBHA KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
184211
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
184211
NY
207RP1001X
Pulmonary Disease Physician
Primary
184211
NY
Other
Enumeration date
07/24/2006
Last updated
10/06/2007
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