Individual
BRENNA M WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7000 COLLAMER RD, EAST SYRACUSE, NY 13057-9764
(315) 656-7218
Mailing address
251 SALINA MEADOWS PARKWAY, SUITE 100, SYRACUSE, NY 13212
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026062
NY
363A00000X
Physician Assistant
Primary
026062-01
NY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06422857
—
NY
Enumeration date
11/24/2020
Last updated
06/02/2026
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