Upstate Community Medical, Pc
LBN: Upstate Community Medical, Pc
Upstate Community Medical, Pc is an health care organization with primary practice located at 4900 Broad Rd , Syracuse NY 13215-2265. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty.
Upstate Community Medical, Pc can be contacted via phone (315) 492-5305, or through Tucker, Amy via phone (315) 464-4255.
Contact Information
Primary practice address
4900 Broad Rd
Syracuse NY 13215-2265
Phone: (315) 492-5305
Fax: (315) 492-5320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X |
Profile Details
| NPI number | 1689620163 |
|---|---|
| LBN Legal business name | Upstate Community Medical, Pc |
| DBA Doing business as | |
| Authorized official | Tucker, Amy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Mar 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689620163 | NPPES |
| New York | MEDICAID | 02771722 | |
| New York | Other | DE7448 |
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