SOUTHERN NEW YORK NEUROSURGICAL GROUP (NPI# 1285059865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285059865 |
Entity Type | Organization |
Organization Name | SOUTHERN NEW YORK NEUROSURGICAL GROUP |
Other Organization Name | EMPIRE STATE NEUROSURGICAL INSTITUTE |
Practice Address |
475 Irving Ave Suite 418 Syracuse NY 13210-1756 |
Practice Telephone | 3154753999 |
Practice Fax Number | 3154754014 |
Mailing Telephone | 3154753999 |
Mailing Fax Number | 3154754014 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-02-19 |
Authorized Official Name | DR. SAEED A BAJWA (PRESIDENT) |
Authorized Official Telephone | 6077294942 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01376512 | 05 |
Other Name | Type Code |
---|---|
Empire State Neurosurgical Institute | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568571834 | Southern New York Neurosurgical Group | Physical Medicine & Rehabilitation | 200 Front St, Vestal, NY 13850-1559 | 2006-08-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C. | 46 Harrison Street, Johnson City, Ny 13790 |
Street Address |
475 IRVING AVE SUITE 418 |
City | SYRACUSE |
State | NY |
Zip Code | 13210-1756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326041286 | Loftus, Ryu & Bartol Md's PC | Specialist | 475 Irving Ave, Ste 108, Syracuse, NY 13210-1691 | 2005-05-24 |
1073988911 | Upstate Family and Preventive Medicine, Inc | Family Medicine | 475 Irving Ave, Suite 200, Syracuse, NY 13210 | 2015-12-03 |
1487041034 | Molly Lizzio | Marriage & Family Therapist | 475 Irving Ave, 410, Syracuse, NY 13210-1756 | 2015-04-22 |
1356734362 | Kimberly Ann Oakes | Marriage & Family Therapist | 475 Irving Ave, Suite 410, Syracuse, NY 13210-1756 | 2015-03-16 |
1316342991 | Cny Dental Arts Pllc | Dentist | 475 Irving Ave, Suite 110, Syracuse, NY 13210-1757 | 2014-10-25 |
1538500152 | Crouse Medical Practice Pllc | Durable Medical Equipment & Medical Supplies | 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756 | 2013-07-11 |
1245678291 | Allison Grace Roy | Obstetrics & Gynecology | 475 Irving Ave, Ste 204, Syracuse, NY 13210 | 2013-06-12 |
1023369329 | Lawrence Cecchi Md PC | Ophthalmology | 475 Irving Ave, Ste 420, Syracuse, NY 13210-1756 | 2012-09-26 |
1184971897 | Beth Houck Md LLC | Obstetrics & Gynecology | 475 Irving Ave, Suite 406, Syracuse, NY 13210-1756 | 2012-08-13 |
1790044105 | Kara Repich | Obstetrics & Gynecology | 475 Irving Ave, Suite 108, Syracuse, NY 13210-1756 | 2012-05-07 |
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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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664804 | Claire I Williams | Specialist | 443 Westbrook Hills Dr, Syracuse, NY 13215-1886 | 2020-09-21 |
1396377313 | Amanda Hopkins | Specialist | 123 Claire Rd, Syracuse, NY 13214-1907 | 2020-02-07 |
1679012975 | Dalia Faouzi Eid | Specialist | 500 Harrison St Geneva Tower, Apt 1603, Syracuse, NY 13202-0000 | 2017-02-20 |
1891238150 | Maria Todeschini | Specialist | 102 Suffolk Rd, Syracuse, NY 13219-1051 | 2016-11-18 |
1740734565 | Amanda Nicole Smith | Specialist | 116 Marian Dr, Syracuse, NY 13219-2423 | 2016-08-10 |
1275981953 | Lleni Pach | Specialist | 302 Halton Rd, Syracuse, NY 13224-2228 | 2016-06-02 |
1497120711 | Siani Ym Amidon | Specialist | 3353 Pleasant Valley Rd, Syracuse, NY 13215-8673 | 2015-12-11 |
1154791283 | Jessica Burton | Specialist | 215 Sedgwick St, Syracuse, NY 13203-3052 | 2015-10-01 |
1144636978 | Kelly Rotella | Specialist | 515 Parsons Dr, Syracuse, NY 13219-2349 | 2014-07-01 |
1891100798 | Linda Bogart | Specialist | 305 Hillside St, Syracuse, NY 13208-2341 | 2014-06-30 |
Find all providers in SYRACUSE |
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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.