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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