CENTRAL NEW YORK DC, LLC (NPI# 1932271251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932271251 |
| Entity Type | Organization |
| Organization Name | CENTRAL NEW YORK DC, LLC |
| Practice Address |
910 Erie Blvd E Syracuse NY 13210-1060 |
| Mailing Address |
2100 Central Ave Suite 201 Boulder CO 80301-2838 |
| Practice Telephone | 3154108040 |
| Practice Fax Number | 3154108030 |
| Mailing Telephone | 3037857523 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | HERBERT S LAWSON (CFO) |
| Authorized Official Telephone | 3037857521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
3301217R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02300801 | 05 | |
| NY | MVP PROVIDER NUMBER | 97005 | 01 |
| Street Address |
910 ERIE BLVD E |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285978999 | Knickerbocker Dialysis Inc | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1048 | 2012-11-19 |
| 1801156591 | Jessica Lauren Spinella | Dentist | 910 Erie Blvd E, Syracuse, NY 13210 | 2012-05-29 |
| 1114226552 | Jennifer Zingaro | Dietitian, Registered | 910 Erie Blvd E, Cny Dialysis Center, Syracuse, NY 13210-1048 | 2011-03-24 |
| 1295992824 | Colleen Mary Krause | Social Worker | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2008-05-21 |
| 1467632182 | Medical Pain Management of Cny, PC | Anesthesiology | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2007-11-09 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619114014 | Sjls, LLC | Clinic/Center | 973 James St, Syracuse, NY 13203-2524 | 2009-01-07 |
| 1417977745 | St Joseph's Hospital Health Center | Clinic/Center | 973 James Street, Syracuse, NY 13203 | 2006-07-20 |
| 1386677763 | Dialysis Clinic Inc. | Clinic/Center | 1127 E Genesee St, Syracuse, NY 13210-1911 | 2006-07-08 |
| 1922558048 | Liverpool Ld, LLC | Clinic/Center | 1304 Buckley Rd, Syracuse, NY 13212-4311 | 2016-10-13 |
| 1285978999 | Knickerbocker Dialysis Inc | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1048 | 2012-11-19 |
| 1689843385 | Liverpool Dialysis Center LLC | Clinic/Center | 1304 Buckley Rd, Syracuse, NY 13212-4311 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.