Organization
CNY MEDICAL AND SURGICAL EYECARE PC
Active
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
Update your record
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