Individual
FATHI A JISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E GENESEE ST, STE 500, SYRACUSE, NY 13210
(315) 471-2713
(315) 471-1012
Mailing address
1000 E GENESEE ST, STE 500, SYRACUSE, NY 13210
(315) 471-2713
(315) 471-1012
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
117551
NY
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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