Organization
CNY MEDICAL AND SURGICAL EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WEISENTHAL M.D. (PRESIDENT)
(315) 445-1577
Entity
Organization
Contact information
Practice address
5000 BRITTONFIELD PKWY, SUITE A-102, EAST SYRACUSE, NY 13057-9226
(315) 432-0555
(315) 463-6219
Mailing address
PO BOX 48, DE WITT, NY 13214-0048
(315) 445-1577
(315) 445-4862
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
008389-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01076719
—
NY
Enumeration date
03/11/2014
Last updated
03/11/2014
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