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COLON RECTAL ASSOCIATES OF CENTRAL NEW YORK LLP NPI 1730248022


NPI Information

NPI: 1730248022
Provider Name: COLON RECTAL ASSOCIATES OF CENTRAL NEW YORK, LLP
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 33D0165739

Address:
GLACIER CREEK OFFICE PARK - BLDG II
6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY
ZIP 13057
Phone: (315) 458-2211
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COLON RECTAL ASSOCIATES OF CENTRAL NEW YORK, LLP is a surgery in East Syracuse, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. COLON RECTAL ASSOCIATES OF CENTRAL NEW YORK, LLP NPI is 1730248022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

GLACIER CREEK OFFICE PARK - BLDG II
6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY
ZIP 13057-510
Phone: (315) 458-2211
Fax: (315) 452-9025

The provider's authorized official is John D. Nicholson .
The authorized official title is Partner and has the following contact phone number (315) 458-2211.

The CLIA number assigned to this NPI record is 33D0165739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 11/20/2023.


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
1208600000XSurgeryYes

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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