| Dr. Jane Kou, Psychiatrist, Llc | |
|
610 S Salina St Syracuse NY 13202-3524 | |
| (315) 421-7479 | |
| (315) 473-9853 |
| Full Name | Dr. Jane Kou, Psychiatrist, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 610 S Salina St, Syracuse, New York |
| Authorized Official Name and Position | Jane Kou (OWNER) |
| Authorized Official Contact | 3154217479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jane Kou, Psychiatrist, Llc 610 S Salina St Syracuse NY 13202-3524 Ph: (315) 421-7479 | Dr. Jane Kou, Psychiatrist, Llc 610 S Salina St Syracuse NY 13202-3524 Ph: (315) 421-7479 |
| NPI Number | 1558647693 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558647693 | NPI | - | NPPES |
| 01377100 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 163572 (New York) | Primary |
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