Julliana Jean-Mary, PA
Physician Assistant in Syracuse, NY. Individual provider (NPI-1).
NPI number1013545896
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1013545896
- Entity type
- Individual (NPI-1)
- Name
- Julliana Jean-Mary
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2020
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1419 Salt Springs RdSyracuse, NY 13214-1302
Phone 315-445-4745
Mailing address
1419 Salt Springs RdSyracuse, NY 13214-1302
Phone 315-445-4100
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