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Taylor Marie Pong
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1447955422

Taylor Marie Pong is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Taylor Marie Pong practices in Syracuse, NY. The NPI Number for Taylor Marie Pong is 1447955422 and holds a License No. (New York).

The current practice location address for Taylor Marie Pong is 301 Prospect Ave, Syracuse, NY and can be reached out via phone at 315-448-5111 and via fax at 315-448-6313.

Location: 301 Prospect Ave, Syracuse, NY, 13203-1899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447955422
Provider Name
Taylor Marie Pong
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Prospect Ave, Syracuse, NY, 13203-1899
Phone Number
315-448-5111
Fax Number
315-448-6313
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Prospect Ave
City
Syracuse
State
New York
Zip
13203-1899
Phone Number
315-448-5111
Fax Number
315-448-6313
person
Provider Business Mailing Address Details
Address
301 Prospect Ave
City
Syracuse
State
New York
Zip
13203-1899
Phone Number
315-448-5111
Fax Number
315-448-6313
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.
()
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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