# CNY GASTROENTEROLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336194265
- **Authorized official:** DR. RAYEES NIZAM MD (PRESIDENT)
- **Authorized official phone:** (315) 252-0810

## Contact information

- **Practice address:** 77 NELSON ST, SUITE 240, AUBURN, NY 13021-1944
- **Practice address phone:** (315) 252-0810
- **Practice address fax:** (315) 252-5179
- **Mailing address:** PO BOX 2337, SYRACUSE, NY 13220-2337
- **Mailing address phone:** (315) 422-6705
- **Mailing address fax:** (315) 422-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 07/18/2008