Individual
DOUGLAS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MALTA LN, SYRACUSE, NY 13212-2375
(315) 703-3586
Mailing address
177 LAWRENCE RD E, NORTH SYRACUSE, NY 13212-3844
(315) 703-3586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
168294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548366271
CLINIC NPI
NY
Enumeration date
11/07/2013
Last updated
11/07/2013
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