Madden, Celeste M

Madden, Celeste M is an individual health care provider with primary practice located at 475 Irving Ave Suite 210, Syracuse NY 13210-1756. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Madden, Celeste M can be contacted via phone (315) 471-2646.

Contact Information

Primary practice address
475 Irving Ave Suite 210 Syracuse NY 13210-1756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1419701 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 1419701 New York

Profile Details

NPI number 1386601086
LBN Legal business name Madden, Celeste M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 8th, 2012 - about 12 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 1386601086 NPPES
New York MEDICAID 00598632

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