Scuderi, Matthew G

Scuderi, Matthew G is an individual health care provider with primary practice located at 6620 Fly Road Ste 200, East Syracuse NY 13057. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Scuderi, Matthew G can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Road Ste 200 East Syracuse NY 13057
Phone: (315) 464-4472
Fax: (315) 464-5229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 231541 New York
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 231541 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 231541 New York

Profile Details

NPI number 1669413480
LBN Legal business name Scuderi, Matthew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 30th, 2009 - about 15 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 1669413480 NPPES
New York MEDICAID 02551279

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