Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 322301 | NY |
NPI | 1033185251 |
---|---|
Provider Name | Patricia J Szymanowski |
First Address | Syracuse, NY 13210-1155 |
Second Address | Liverpool, NY 13088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 20/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02300118 | (05) | NY |
S91067 | (02) |