Individual
JENNIFER WEST MCCAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
150 SIMS DR STE 201, SYRACUSE, NY 13244-4412
(315) 443-8000
(315) 443-9010
Mailing address
150 SIMS DR STE 201, SYRACUSE, NY 13244-4412
(315) 443-8000
(315) 443-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02800255
—
NY
Enumeration date
07/12/2006
Last updated
11/27/2019
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