LARRY S WITANOWSKI (NPI# 1124096508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096508 |
| Entity Type | Individual |
| Full Name | LARRY S WITANOWSKI |
| Credential | MD |
| Practice Address |
736 Irving Ave Syracuse NY 13210-1687 |
| Mailing Address |
Po Box 2004 East Syracuse NY 13057-4504 |
| Practice Telephone | 3154707551 |
| Practice Fax Number | 3154702719 |
| Mailing Telephone | 3153625285 |
| Mailing Fax Number | 3154452936 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
157906 | NY | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
157906 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
736 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1417555079 | Drake Kingdon Burgess | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1518571876 | Jessica Garza | Pharmacist | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-09-03 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1457975567 | Clare Murphy | Speech-Language Pathologist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-04 |
| 1609498062 | Christopher James Limoncelli | Physical Therapist | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-05-08 |
| 1265060016 | Amanda Lynn Webb | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-03-28 |
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215978184 | University Radiology Associates, LLP | Radiology | 224 Harrison St, Suite 601, Syracuse, NY 13202-3056 | 2006-06-09 |
| 1215985163 | Ronald S. Farah | Radiology | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348877 | Arcadia Imaging PC | Radiology | 3055 3rd Ave, Suite 1a, Bronx, NY 10451-4607 | 2009-12-29 |
| 1912115023 | Tony Abraham | Radiology | 1500 Route 112 Bldg 2, Port Jefferson Station, NY 11776-8055 | 2007-05-21 |
| 1902015738 | Akbar Raza Shah | Radiology | 204b Jefferson Ave Apt 1a, Saint James, NY 11780-2951 | 2007-05-21 |
| 1114057577 | Adeline Markowitz | Radiology | 14 Glenwood Dr, Great Neck, NY 11021-1837 | 2007-03-06 |
| 1235236746 | Howard Finestone | Radiology | Maimonides Med Ctr 4802 10th Ave, Brooklyn, NY 11219 | 2006-09-19 |
| 1730297011 | Trustees of Columbia University In The City of New York | Radiology | 722 West 168th Street R1 Fl, New York, NY 10032-3733 | 2006-08-28 |
| 1447297924 | Lijun Weng | Radiology | 1379 54th St Suite 3, Brooklyn, NY 11219 | 2006-06-01 |
| 1265497390 | Karen Mourtzikos | Radiology | 150 East Sunrise Highway, Lindenhurst, NY 11757 | 2006-04-20 |
| 1639143324 | Karolyn R Kerr | Radiology | 751 2nd Ave, New York, NY 10017-5906 | 2006-02-17 |
| 1003805219 | Park Avenue Medical Pllc | Radiology | 451 Park Ave S, Floor 2, New York, NY 10016-7390 | 2005-10-19 |
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| 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.