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NPI Code Detail

MEDICARE: HALEY JO COLE PA-C

MEDICARE: HALEY JO COLE PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1427980739
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY JO COLE PA-C
Provider Business Mailing Address
First Line : 301 PROSPECT AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1899
Country : US
Telephone Number : 315-448-5111
Fax Number :
Provider Business Practice Location Address
First Line : 301 PROSPECT AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1899
Country : US
Telephone Number : 315-448-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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