Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | X010671-1 | NY |
N | 111NN0400X | Neurology | X010671-1 | NY |
NPI | 1346447638 |
---|---|
Provider Name | Dr. John Michael Syrotynski |
First Address | Utica, NY 13505-8207 |
Second Address | New Hartford, NY 13413-2327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 08/07/2007 |