Organization
EYE CONSULTANTS OF SYRACUSE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G SPITZER (AUTHORIZED OFFICIAL)
(315) 422-4412
Entity
Organization
Contact information
Practice address
5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214-1847
(315) 422-4412
Mailing address
5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214-1847
(315) 422-4412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644040
—
NY
Enumeration date
08/21/2006
Last updated
04/27/2019
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