Jonathan Edward Nordheim PAC

NPI 1386762912 - Physician Assistant - 363A00000X

NPI Details
NPI 1386762912
Gender Male
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
961 CANAL STREET
SYRACUSE NY, 13210-1287, US
Phone (315) 478-1977
Fax (315) 475-2909
Business Location
210 DEMONG DRIVE
SYRACUSE NY, 13214, US
Phone (315) 449-1864
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 0075241
Remove 1386762912 NPI Number
 

According to our database, Mr. Jonathan Edward Nordheim PAC NPI is 1386762912, taxonomy code is 363A00000X and license number is 0075241, license state is located at New York. Jonathan Edward Nordheim PAC physically located at 961 Canal Street, Syracuse NY, 13210-1287. NPI Number Jonathan Edward Nordheim PAC has the Individual type.

Sponsored links

1386762912 NPI number is provided on an as is basis without warranty of any kind. 1386762912 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Edward Nordheim PAC are for informational purposes only.