Organization
SYRACUSE ORTHOPEDIC SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUMPHREY (CEO)
(315) 251-3106
Entity
Organization
Contact information
Practice address
5000 W SENECA TPKE, SYRACUSE, NY 13215
(315) 251-3100
(315) 449-9923
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1880
(315) 251-3100
(315) 449-9923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
04/13/2020
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