Organization
NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC
Active
Organization
NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC
Active
Other names
New York Spine and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L TISO MD (PRESIDENT)
(315) 552-6700
Entity
Organization
Contact information
Practice address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
(315) 552-6701
Mailing address
PO BOX 510, SYRACUSE, NY 13214-0510
(315) 703-3484
(315) 703-3487
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/14/2005
Last updated
02/25/2014
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