CNY FACIAL SURGERY GROUP PC NPI 1831297183

NPI Information

  • NPI: 1831297183
  • Provider Name: CNY FACIAL SURGERY GROUP, PC
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Former Legal Business Name: DOUGLAS W. HALLIDAY, M.D., P.C.
  • CLIA Number: 33D1075202
  • Address: 4939 BRITTONFIELD PARKWAY
    BLDG B, SUITE 210
    E. SYRACUSE, NY
    ZIP 13057
  • Phone: (315) 471-8404

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NPI Details

CNY FACIAL SURGERY GROUP, PC is a plastic surgery within the head and neck otolaryngology in E. Syracuse, NY. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. CNY FACIAL SURGERY GROUP, PC NPI is 1831297183. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Douglas W. Halliday, M.d., P.c..

The provider's business location address is:

4939 BRITTONFIELD PARKWAY
BLDG B, SUITE 210
E. SYRACUSE, NY
ZIP 13057
Phone: (315) 471-8404
Fax: (315) 471-6803

The provider's authorized official is Mary Barrigar .
The authorized official title is Office Manager and has the following contact phone number (315) 471-8404.

The CLIA number assigned to this NPI record is 33D1075202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/23/2015.

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
1207KA0200XAllergy & ImmunologyAllergyNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

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
1AA0360MEDICARE PINNEW YORK
203597968MEDICAIDNEW YORK
3DG4140MEDICARE PINNEW 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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