ITAMAR NIESVIZKY-KOGAN

SYRACUSE, NY
NPI1043709348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
ITAMAR NIESVIZKY-KOGAN MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-4570
Mailing Address
ITAMAR NIESVIZKY-KOGAN MD
60 PRESIDENTIAL PLZ APT 617
SYRACUSE, NY 13202-2216
Phone number: