New York Spine And Wellness Center

LBN: New York Anesthesiology Medical Specialties, Pc
New York Spine And Wellness Center is an health care organization with primary practice located at 5417 West Genesee Street Suite 1, Camillus NY 13031. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. New York Anesthesiology Medical Specialties, Pc can be contacted via phone (315) 432-4900, or through Tiso, Robert L. via phone (315) 552-6700.

Contact Information

Primary practice address
5417 West Genesee Street Suite 1 Camillus NY 13031
Phone: (315) 432-4900
Fax: (315) 488-2397
Website:
Map and Directions
Authorized official contact:
Name: Tiso, Robert L. Doctor of Medicine (MD)
Phone: (315) 552-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1023497203
LBN Legal business name New York Anesthesiology Medical Specialties, Pc
DBA Doing business as New York Spine And Wellness Center
Authorized official Tiso, Robert L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2015
Last updated May 21st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023497203 NPPES
New York MEDICAID 03423585

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