CNY CHILD NEUROLOGY ASSOCIATES NPI 1578747192

NPI Information

  • NPI: 1578747192
  • Provider Name: CNY CHILD NEUROLOGY ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 5850 HERITAGE LANDING DR
    EAST SYRACUSE, NY
    ZIP 13057
  • Phone: (315) 446-2985

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NPI Details

CNY CHILD NEUROLOGY ASSOCIATES is a specialist in East Syracuse, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CNY CHILD NEUROLOGY ASSOCIATES NPI is 1578747192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5850 HERITAGE LANDING DR
EAST SYRACUSE, NY
ZIP 13057-359
Phone: (315) 446-2985

The provider's authorized official is Nancy J Havernick .
The authorized official title is Owner and has the following contact phone number (315) 446-2985.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

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
1174400000XSpecialist159000NEW 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
100845905MEDICAIDNEW YORK
2B82742MEDICARE UPINNEW 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: 11/21/2025

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