Individual
FREDERICK SENGSTACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
254528
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
254528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03223810
—
NY
Enumeration date
07/21/2005
Last updated
05/08/2026
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