Provider Demographics
NPI:1548148505
Name:JANCZYK, KATE LYN
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:LYN
Last Name:JANCZYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LEMOYNE COLLEGE DEPARTMENT OF PHYSICIAN ASSISTANT
Mailing Address - Street 2:1419 SALT SPRINGS RD.
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LEMOYNE DEPT OF PHYSICIAN ASSISTANT STUDIES
Practice Address - Street 2:1419 SALT SPRINGS ROAD
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13214
Practice Address - Country:US
Practice Address - Phone:315-516-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program