Individual
NATHAN GERALD EVERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
Mailing address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3081
(315) 251-3105
(315) 552-6018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
273744
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
27344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03805061
—
NY
Enumeration date
04/24/2008
Last updated
04/04/2018
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