Organization
ONONDAGA ORTHOPEDICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUMPHREY (CEO)
(315) 251-3106
Entity
Organization
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
Mailing address
5824 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3072
(315) 251-3105
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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