Organization
UNIVERSITY SURGICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N. COONEY MD (CHAIRMAN)
(315) 464-9852
Entity
Organization
Contact information
Practice address
750 E ADAMS ST, STE. 8140, SYRACUSE, NY 13210-2306
(315) 464-1800
(315) 464-6252
Mailing address
750 E ADAMS ST, STE. 8140, SYRACUSE, NY 13210-2306
(315) 464-1800
(315) 464-6252
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01591120
—
NY
Enumeration date
05/27/2006
Last updated
10/13/2010
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