Plastic & Reconstructive Surgery Of Cny Pc

LBN: Plastic & Reconstructive Surgery Of Cny Pc
Plastic & Reconstructive Surgery Of Cny Pc is an health care organization with primary practice located at 475 Irving Ave Suite 320, Syracuse NY 13210-1756. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty. Plastic & Reconstructive Surgery Of Cny Pc can be contacted via phone (315) 425-7822, or through Bidwell, Kathy A via phone (315) 752-0141.

Contact Information

Primary practice address
475 Irving Ave Suite 320 Syracuse NY 13210-1756
Phone: (315) 425-7822
Fax: (315) 425-7885
Website:
Map and Directions
Authorized official contact:
Name: Bidwell, Kathy A
Phone: (315) 752-0141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 124408 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 145420 New York
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 124408 New York
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 145420 New York

Profile Details

NPI number 1851465496
LBN Legal business name Plastic & Reconstructive Surgery Of Cny Pc
DBA Doing business as
Authorized official Bidwell, Kathy A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Jan 29th, 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 1851465496 NPPES
New York MEDICAID 01019447

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