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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 TISO MD (DIRECTOR)
(315) 552-6700
Entity
Organization

Contact information

Practice address
6711 TOWPATH RD STE 265, EAST SYRACUSE, NY 13057-9510
(315) 703-3480
(315) 703-3481
Mailing address
PO BOX 510, SYRACUSE, NY 13214-0510
(315) 703-3480
(315) 703-3481

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/04/2009
Last updated
01/21/2021
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