| Doctor Name: | MARY CHAU TRAN |
| NPI Number: | 1003001587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 012657 |
| Business Practice Address: | 301 Prospect Ave Syracuse, NY - 132031807 |
| Business Phone Number: | 3154485414 |
| Business Fax Number: | |
| Mailing Address: | 8214 Cicero Mills Rd, CICERO |
| State: | NY |
| Postal Code: | 130398342 |
| Phone Number: | 3159357916 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 04/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 012657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |