Mitchell A. Mckinnon
Pediatric Emergency Physician
4900 Broad Road
Syracuse
, New York 13215
Mitchell A. Mckinnon
Pediatric Emergency Physician
4900 Broad Road
Syracuse
, New York 13215
(315) 464-2010
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Mitchell A. Mckinnon
- 251 Salina Meadows Pkwy Suite 100
- Syracuse, NY
- Zip : 13212-4516
- Fax : (315) 464-2010
- Phone : (315) 464-2000
Second Address
- Mitchell A. Mckinnon
- 4900 Broad Road
- Syracuse, NY
- Zip : 13215
- Fax : (315) 492-5502
- Phone : (315) 492-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 307021 | NY |
National Provider Identifier
| NPI | 1790226983 |
|---|---|
| Provider Name | Mitchell A. Mckinnon |
| First Address | Syracuse, NY 13212-4516 |
| Second Address | Syracuse, NY 13215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2017 |
| Last Update Date | 13/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.