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 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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