IndividualActive
Michael Parker, MD
NPI 1104808898 · Otolaryngic Allergy Physician · Camillus, NY
Provider details
- NPI number
- 1104808898
- Entity type
- Individual
- Primary specialty
- Otolaryngic Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 154623 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5639 W Genesee Street
Camillus, NY 13031
Phone: (315) 468-6888
Approximate (ZIP-level) locationGet directions
Mailing address
1001 W Fayette Street
Syracuse, NY 13204
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.