Individual provider · Type 1 NPI

Jainty John, PA

Surgical Physician Assistant · Syracuse, NY

NPI number 1649673039 Active

Practice location

301 Prospect Avenue
Syracuse, NY 13203

Fax (315) 703-5079

Mailing address

104 Union Avenue, Suite 804
Syracuse, NY 13203

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X018118 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1649673039

Jainty John, PA's National Provider Identifier is 1649673039, issued on Sep 30, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Nov 17, 2014.