Faltyn, Gregory R

Faltyn, Gregory R is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Faltyn, Gregory R can be contacted via phone (315) 448-5111.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1807
Phone: (315) 448-5111
Fax: (315) 637-7907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003578-1 New York

Profile Details

NPI number 1336117233
LBN Legal business name Faltyn, Gregory R
Credentials R-PA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336117233 NPPES
New York MEDICAID 02743066

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