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Contact Information

CENTRAL NEW YORK SURGICAL PHYSICIANS PC
739 IRVING AVE
STE 450
SYRACUSE, NY13210
 Phone: 315-470-7364
 Fax: 315-470-5859
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CENTRAL NEW YORK SURGICAL PHYSICIANS PC · (Female)

NPI Number 1093751026
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2006
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 01746414
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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