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MEDSPA SOLUTIONS LLC NPI 1376165159


NPI Information

NPI: 1376165159
Provider Name: MEDSPA SOLUTIONS, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 33D2186013

Address:
1810 ERIE BLVD E
SYRACUSE, NY
ZIP 13210
Phone: (315) 552-1050
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MEDSPA SOLUTIONS, LLC is a medical specialty clinic center in Syracuse, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MEDSPA SOLUTIONS, LLC NPI is 1376165159. The provider is registered as an organization entity type.

The provider's business location address is:

1810 ERIE BLVD E
SYRACUSE, NY
ZIP 13210-230
Phone: (315) 552-1050

The provider's authorized official is Susan Marvin .
The authorized official title is Cfo and has the following contact phone number (315) 813-1973.

The CLIA number assigned to this NPI record is 33D2186013 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 4/28/2024

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