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Jack Mulvihill
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1093414526

Jack Mulvihill is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Jack Mulvihill practices in Syracuse, NY. The NPI Number for Jack Mulvihill is 1093414526 and holds a License No. (New York).

The current practice location address for Jack Mulvihill is 174 Canterbury Rd, Syracuse, NY and can be reached out via phone at 315-956-3215.

Location: 174 Canterbury Rd, Syracuse, NY, 13214-2243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093414526
Provider Name
Jack Mulvihill
Credential
Provider Entity Type
Individual
Gender
Male
Address
174 Canterbury Rd, Syracuse, NY, 13214-2243
Phone Number
315-956-3215
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
174 Canterbury Rd
City
Syracuse
State
New York
Zip
13214-2243
Phone Number
315-956-3215
Fax Number
person
Provider Business Mailing Address Details
Address
174 Canterbury Rd
City
Syracuse
State
New York
Zip
13214-2243
Phone Number
315-956-3215
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
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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