SUNY UPSTATE


Address: 90 Presidential Plz, Syracuse, NY 13202-2240
Phone: 3154643833

SUNY UPSTATE (NPI# 1053789610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053789610
Entity Type Organization
Organization Name SUNY UPSTATE
Practice Address 90 Presidential Plz
Syracuse
NY 13202-2240
Mailing Address 5104 Waterford Wood Way
Fayetteville
NY 13066-9799
Practice Telephone 3154643833
Mailing Telephone 6077597462
Enumeration Date 2015-09-11
Last Update Date 2015-09-11
Authorized Official Name MRS. VIKTORIA KENNEY (FNP)
Authorized Official Telephone 6077597462
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center F339820-1 NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649530775 Suny Upstate General Acute Care Hospital 215 Bassett St, Syracuse, NY 13210-2113 2012-05-23
1952551897 Suny Upstate General Acute Care Hospital 750 East Adams St, Syracuse, NY 13210 2008-09-29

Office Location

Street Address 90 PRESIDENTIAL PLZ
City SYRACUSE
State NY
Zip Code 13202-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702278 Michael P Sharak Physician Assistant 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 2005-07-01
1558978940 Krista Marie Shanholtz Family Medicine 90 Presidential Plz, Syracuse, NY 13202-2240 2020-09-29
1689299505 Kimberly Ann Cerasani Nurse Practitioner 90 Presidential Plz, Syracuse, NY 13202-2240 2020-06-16
1235609512 Sara Marie Obrist Social Worker 90 Presidential Plz, Syracuse, NY 13202-2240 2018-11-29
1063949816 Catherine Bird Fessenden Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 2017-05-11
1013469873 Davia Gaelin Moss Registered Nurse 90 Presidential Plz, Syracuse, NY 13202-2240 2016-10-27
1285183335 Stacy Jo Mcclintic Dietitian, Registered 90 Presidential Plz, Syracuse, NY 13202-2240 2016-09-30
1235590738 Lara Kratochwill Pharmacist 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 2016-03-10
1699144527 Viktoria Kenney Nurse Practitioner 90 Presidential Plz, Syracuse, NY 13202-2240 2015-09-22
1053727503 Hassan Mahdi Al-khalisy Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Syracuse, NY 13202-2240 2014-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
1851873640 Syracuse Community Health Center, Inc. Case Management 819 South Salina Street, Syracuse, NY 13202 2018-08-29
1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912417536 Bodymind Float Center Syracuse LLC Clinic/Center 2949 Erie Blvd E Ste 101, Syracuse, NY 13224-1447 2017-10-10
1922275270 Forensic Consultants Ltd Clinic/Center 2112 Erie Blvd E, Suite 200, Syracuse, NY 13224-1041 2008-05-14
1558914796 Thrive Therapy LLC Clinic/Center 918 James St, Syracuse, NY 13203-2500 2019-07-17
1699063776 Schc Prenatal/pediatric Li Mr Clinic/Center 819 S Salina St, Syracuse, NY 13202-3527 2011-07-11
1215244223 Susan Macmillan Rioux Clinic/Center 736 Irving Ave, Educational Services Dept, Syracuse, NY 13210-1687 2010-09-13
1356505531 Michelle J Arrindell Clinic/Center 324 University Ave, Syracuse, NY 13210-1811 2008-07-16
1548366271 Loretto Rest Realty Corporation Clinic/Center 700 E Brighton Ave, Syracuse, NY 13205-2201 2006-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356942411 Medical Offices of Occupational Health Resources P C Clinic/Center 240 Airport Rd, White Plains, NY 10604-1315 2020-11-05
1649884537 Bridge To Care Nurse Practitioner In Psychiatry PC Clinic/Center 3005 Church Ave, Brooklyn, NY 11226-4209 2020-09-08
1093328890 Philomene Goueliani Phd Clinic/Center 1461 E 103rd St, Brooklyn, NY 11236-4513 2020-08-31
1801409792 Lori Davis, Np In Family Health Pllc Clinic/Center 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 2020-08-28
1679190326 Payless Staffing and Consultants Clinic/Center 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 2020-06-29
1487279238 Nss Medical Services, Pllc Clinic/Center 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 2020-06-08
1275157000 Provident Health Partners Inc. Clinic/Center 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 2020-06-08
1922635218 Proficient Rehab Care Pt Pllc Clinic/Center 121 Winham Ave, Staten Island, NY 10306-4930 2020-03-25
1104451525 Dr Paul Poulakos Do, LLC Clinic/Center 186 9th Ave Apt 4f, New York, NY 10011-4918 2020-03-05
1538793732 Yi Zhang Medical Wellness Pllc Clinic/Center 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 2020-02-26
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Competitor

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City SYRACUSE
Zip Code 13202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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