Byrum, Craig J

Byrum, Craig J is an individual health care provider with primary practice located at 725 Irving Ave Suite 804, Syracuse NY 13210-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Byrum, Craig J can be contacted via phone (315) 214-7700.

Contact Information

Primary practice address
725 Irving Ave Suite 804 Syracuse NY 13210-1603
Fax: (315) 214-7701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 145925 New York

Profile Details

NPI number 1215086350
LBN Legal business name Byrum, Craig J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215086350 NPPES
New York MEDICAID 00630800

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