Organization
GEORGE O. TEMNYCKY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M SULLIVAN-DEC MPH (ADMINISTRATOR)
(315) 458-2020
Entity
Organization
Contact information
Practice address
1304 BUCKLEY RD, SUITE 205, SYRACUSE, NY 13212-4311
(315) 458-2020
(315) 458-6522
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 458-2020
(315) 458-6522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572998
—
NY
Enumeration date
11/09/2006
Last updated
01/29/2014
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