# CORTLAND GASTROENTEROLOGY PC

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

## Provider details

- **NPI number:** 1902136096
- **Authorized official:** BISWARUP SYAM MD (OWNER)
- **Authorized official phone:** (607) 756-6595

## Contact information

- **Practice address:** 1259 FISHER AVE, CORTLAND, NY 13045-1012
- **Practice address phone:** (607) 756-6595
- **Practice address fax:** (607) 756-6594
- **Mailing address:** PO BOX 2001, EAST SYRACUSE, NY 13057-4501
- **Mailing address phone:** (315) 446-3904
- **Mailing address fax:** (315) 445-2936

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2010
- **Last updated:** 01/12/2010