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Organization

UPSTATE ORTHOPEDICS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN A. ALBANESE MD (ORTHOPEDIC DEPARTMENT CHAIRMAN)
(315) 464-4472
Entity
Organization

Contact information

Practice address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5529
Mailing address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5529

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
146522
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01274166
NY
Enumeration date
06/03/2006
Last updated
10/18/2016
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