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ST. JOSEPH'S MEDICAL PC NPI 1306205034


NPI Information

NPI: 1306205034
Provider Name: ST. JOSEPH'S MEDICAL PC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
104 UNION AVE
STE 1001-1002
SYRACUSE, NY
ZIP 13203
Phone: (315) 423-7192
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ST. JOSEPH'S MEDICAL PC is a thoracic surgery cardiothoracic vascular surgery in Syracuse, NY. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. ST. JOSEPH'S MEDICAL PC NPI is 1306205034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 UNION AVE
STE 1001-1002
SYRACUSE, NY
ZIP 13203-843
Phone: (315) 423-7192
Fax: (315) 423-8013

The provider's authorized official is Sandra M. Sulik .
The authorized official title is President and has the following contact phone number (315) 744-1865.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 2/23/2016.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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
103370858MEDICAIDNEW YORK
2J100036677MEDICARE PINNEW 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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