PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC (NPI# 1851465496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851465496 |
| Entity Type | Organization |
| Organization Name | PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC |
| Practice Address |
475 Irving Ave Suite 320 Syracuse NY 13210-1756 |
| Mailing Address |
6221 State Route 31 Suite 104 Cicero NY 13039-8724 |
| Practice Telephone | 3154257822 |
| Practice Fax Number | 3154257885 |
| Mailing Telephone | 3157520141 |
| Mailing Fax Number | 3157520142 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | KATHY A BIDWELL (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3157520141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 145420 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
124408 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
145420 | NY | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 124408 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01019447 | 05 |
| Street Address |
475 IRVING AVE SUITE 320 |
| 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 |
| 1285059865 | Southern New York Neurosurgical Group | Specialist | 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756 | 2014-02-19 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588764294 | Philip Alfred Falcone | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2006-09-23 |
| 1396771424 | Dean Deroberts | Plastic Surgery | 3107 E Genesee St Ste 2g, Syracuse, NY 13224-1646 | 2006-06-23 |
| 1134757891 | Syracuse Plastic Surgery, Pllc | Plastic Surgery | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2020-03-30 |
| 1740588607 | Deroberts Plastic Surgery Pllc | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2011-03-02 |
| 1144408345 | Plastic Surgery Associates of Cny | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210 | 2008-02-11 |
| 1417136300 | Philip A. Falcone, Md, PC | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2007-10-29 |
| 1861699506 | Prashant K Upadhyaya | Plastic Surgery | 550 Harrison St, Ste. 120, Syracuse, NY 13202-3188 | 2007-06-27 |
| 1821186669 | Frederick Peter Hixson | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210-1603 | 2006-10-10 |
| 1710992466 | Bruce Berner Shafiroff | Plastic Surgery | 475 Irving Ave, Suite 320, Syracuse, NY 13210-1756 | 2006-07-30 |
| 1568451391 | Mohammad B Tabaie, Md PC | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2005-10-14 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC.
| 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.