Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 286196 | NY |
Y | 208000000X | Pediatrician | 286196 | NY |
NPI | 1215345830 |
---|---|
Provider Name | Sarah B Marsh |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13215-2265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2014 |
Last Update Date | 26/06/2017 |