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Organization

CNY MEDICAL AND SURGICAL EYE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WEISENTHAL M.D. (PRESIDENT)
(315) 445-1577
Entity
Organization

Contact information

Practice address
5770 COMMONS PARK, EAST SYRACUSE, NY 13057-9400
(315) 445-1577
(315) 445-4862
Mailing address
PO BOX 48, DE WITT, NY 13214-0048
(315) 445-1577
(315) 445-4862

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005571-1
NY
207W00000X
Ophthalmology Physician
Primary
174054-1
NY

Other

Enumeration date
10/02/2006
Last updated
03/10/2014
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