# CNY OPHTHALMOLOGY PLLC

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

## Provider details

- **NPI number:** 1942277363
- **Authorized official:** TIMOTHY RICCARDI MD (OWNER)
- **Authorized official phone:** (315) 492-5910

## Contact information

- **Practice address:** 4900 BROAD RD, NORTH SUITE 3P, SYRACUSE, NY 13215-2265
- **Practice address phone:** (315) 492-5910
- **Mailing address:** PO BOX 2003, EAST SYRACUSE, NY 13057
- **Mailing address phone:** (315) 446-3904
- **Mailing address fax:** (315) 445-2936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 10/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CH8406 | RRMCR | — |