Individual
ROBERT CENNAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 PROSPECT AVE, CLINICAL AFFILIATES, SYRACUSE, NY 13203-1807
(315) 448-5111
(315) 703-5079
Mailing address
104 UNION AVE, SUITE 804, SYRACUSE, NY 13203-1843
(315) 703-5049
(315) 703-5079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068633
—
NY
Enumeration date
05/20/2006
Last updated
10/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us