MOBILE NP-ADULT HEALTH OF CNY P.C. NPI 1669662771

NPI Information

  • NPI: 1669662771
  • Provider Name: MOBILE NP-ADULT HEALTH OF CNY, P.C.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Doing Business As: MOBILEMED
  • Address: 124 RUGBY RD
    SYRACUSE, NY
    ZIP 13206
  • Phone: (315) 437-1693

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NPI Details

MOBILE NP-ADULT HEALTH OF CNY, P.C. is an adult health nurse practitioner in Syracuse, NY. MOBILE NP-ADULT HEALTH OF CNY, P.C. NPI is 1669662771. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mobilemed.

The provider's business location address is:

124 RUGBY RD
SYRACUSE, NY
ZIP 13206-225
Phone: (315) 437-1693

The provider's authorized official is Desta Anthony .
The authorized official title is President and has the following contact phone number (315) 437-1693.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

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
1363LA2200XNurse PractitionerAdult Health303332NEW YORKYes

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: 3/30/2025

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