Individual
JAMIE KAYE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, SCRN, ACNPC-AG
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5011
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(402) 960-1970
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
F312614
NY
363LA2100X
Acute Care Nurse Practitioner
F312614
NY
363LA2200X
Adult Health Nurse Practitioner
F312614
NY
363LG0600X
Gerontology Nurse Practitioner
F312614
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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