Individual
JESSICA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 GIFFORD ST, SYRACUSE, NY 13204
(315) 703-2600
(315) 703-2621
Mailing address
321 GIFFORD ST, SYRACUSE, NY 13204-3201
(315) 703-2600
(315) 703-2621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
293299
NY
207V00000X
Obstetrics & Gynecology Physician
293299
NY
Other
Enumeration date
06/17/2015
Last updated
09/21/2020
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