Individual
HANA F JISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
PO BOX 2002, EAST SYRACUSE, NY 13057-4502
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2231031
NY
208M00000X
Hospitalist Physician
Primary
2231031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386827
—
NY
Enumeration date
03/15/2006
Last updated
01/29/2010
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