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Organization
NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C.
Active
Organization
NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP T ONDOCIN MD (PHYSICIAN)
(315) 478-3311
Entity
Organization
Contact information
Practice address
1304 BUCKLEY RD STE 200, SYRACUSE, NY 13212-4301
(315) 478-3311
(315) 214-4847
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 552-6590
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581631
—
NY
01
—
20000510941
MVP
NY
01
—
CF7820
RR MEDICARE
NY
Enumeration date
11/01/2006
Last updated
04/06/2024
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