Organization
CENTRAL NEW YORK ORTHOPEDICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WICKLINE (MD)
(315) 735-4496
Entity
Organization
Contact information
Practice address
4401 MIDDLE SETTLEMENT RD STE 102, NEW HARTFORD, NY 13413-5332
(315) 735-4496
Mailing address
4401 MIDDLE SETTLEMENT RD STE 102, NEW HARTFORD, NY 13413-5332
(315) 735-4496
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/18/2019
Last updated
11/25/2019
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