Cenname, Robert

Cenname, Robert is an individual health care provider with primary practice located at 301 Prospect Ave Clinical Affiliates, Syracuse NY 13203-1807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cenname, Robert can be contacted via phone (315) 448-5111.

Contact Information

Primary practice address
301 Prospect Ave Clinical Affiliates Syracuse NY 13203-1807
Fax: (315) 703-5079
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 007138 New York

Profile Details

NPI number 1487608816
LBN Legal business name Cenname, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 14th, 2022 - about 3 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 1487608816 NPPES
New York MEDICAID 02068633

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