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NPI Code Detail

MEDICARE: DR. ELIO JABRA MD

MEDICARE: DR. ELIO JABRA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125.082919IL

General Provider Information

NPI Number : 1427736743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIO JABRA MD
Provider Business Mailing Address
First Line : 750 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2306
Country : US
Telephone Number : 315-464-3835
Fax Number :
Provider Business Practice Location Address
First Line : 750 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2306
Country : US
Telephone Number : 315-464-3835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2023
Last Update Date : 06/02/2026

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Directions to “ DR. ELIO JABRA MD” Practice Location

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