SOUTHERN NEW YORK NEUROSURGICAL GROUP


Address: 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756
Phone: 3154753999

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01376512 05

Other Provider/Organization Names

Other Name Type Code
Empire State Neurosurgical Institute Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568571834 Southern New York Neurosurgical Group Physical Medicine & Rehabilitation 200 Front St, Vestal, NY 13850-1559 2006-08-30

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C. 46 Harrison Street, Johnson City, Ny 13790

Office Location

Street Address 475 IRVING AVE
SUITE 418
City SYRACUSE
State NY
Zip Code 13210-1756

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SYRACUSE
Zip Code 13210

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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