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NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC NPI 1225253271


NPI Information

NPI: 1225253271
Provider Name: NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
736 IRVING AVE STE 9100
SYRACUSE, NY
ZIP 13210
Phone: (315) 470-7379
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NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC is a neonatal-perinatal medicine pediatrics in Syracuse, NY. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC NPI is 1225253271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

736 IRVING AVE STE 9100
SYRACUSE, NY
ZIP 13210-687
Phone: (315) 470-7379
Fax: (315) 470-2923

The provider's authorized official is Steven Jay Gross .
The authorized official title is President and has the following contact phone number (315) 470-7379.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 12/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal Medicine126383NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERNEW YORKTAX ID
201458566MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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