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Contact Information

CNY SPINE MEDICINE, PLLC
4000 MEDICAL CENTER DR
STE 4217
FAYETTEVILLE, NY13066-6631
 Phone: 315-637-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CNY SPINE MEDICINE, PLLC

NPI # 1689733974
LBN Legal business name CNY SPINE MEDICINE, PLLC
Authorized official GERARD RODZIEWICZ - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 04/08/2014 - About 12 years ago
Identifiers
NY License # 003578
NY License # 174479
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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