Individual provider · Type 1 NPI
Jack Mulvihill
Medical Physician Assistant · Syracuse, NY
NPI number
1093414526
Active
Practice location
174 Canterbury Rd
Syracuse, NY 13214-2243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1093414526
Jack Mulvihill's National Provider Identifier is 1093414526, issued on Feb 23, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on May 8, 2025.