Individual
MISS JACQUELINE LEA BUZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-6255
Mailing address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-6255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
01/15/2013
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