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UPSTATE ENT PLLC NPI 1427169655


NPI Information

NPI: 1427169655
Provider Name: UPSTATE ENT, PLLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1095 COMMONS AVE
CORTLAND, NY
ZIP 13045
Phone: (607) 756-8075
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UPSTATE ENT, PLLC is an otolaryngology in Cortland, NY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. UPSTATE ENT, PLLC NPI is 1427169655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1095 COMMONS AVE
CORTLAND, NY
ZIP 13045-669
Phone: (607) 756-8075

The provider's authorized official is Pierre T Martin .
The authorized official title is Owner and has the following contact phone number (607) 756-8075.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology179356NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101478293MEDICAIDNEW 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: 5/5/2024

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