National Provider Identifier Database

UPSTATE UNIVERSITY HOSPITAL
Children


Contact Information

UPSTATE UNIVERSITY HOSPITAL
750 E ADAMS ST
SYRACUSE, NY13210-2342
Phone: 315-464-5800
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for UPSTATE UNIVERSITY HOSPITAL

NPI Number 1154584688
Legal business name
LBN
UPSTATE UNIVERSITY HOSPITAL
Authorized official RANDA KHAIRALLAH - (PRIVATE PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/03/2008
Last updated 07/03/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: NOT YET LICENSED

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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