Organization
CNY SPINE MEDICINE, PLLC
Active
Other names
DoctorRodz
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD S RODZIEWICZ MD (DIRECTOR)
(315) 637-7900
Entity
Organization
Contact information
Practice address
4000 MEDICAL CENTER DR, STE 4217, FAYETTEVILLE, NY 13066-6631
(315) 637-7900
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
174479
NY
363A00000X
Physician Assistant
003578
NY
Other
Enumeration date
12/06/2006
Last updated
04/08/2014
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