Individual provider · Type 1 NPI

Itamar Niesvizky-Kogan, MD

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1043709348 Active

Practice location

750 E Adams St
Syracuse, NY 13210-1834

Call (315) 464-4570 Map

Mailing address

60 Presidential Plz Apt 617
Syracuse, NY 13202-2216

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043709348

Itamar Niesvizky-Kogan, MD's National Provider Identifier is 1043709348, issued on May 2, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on May 2, 2018.