Pediatric Service Group

LBN: Pediatric Service Group
Pediatric Service Group is an health care organization with primary practice located at 750 E. Adams St. 5Th Floor, Syracuse NY 13210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Service Group can be contacted via phone (315) 464-5450, or through Welch, Thomas via phone (315) 464-5450.

Contact Information

Primary practice address
750 E. Adams St. 5Th Floor Syracuse NY 13210
Phone: (315) 464-5450
Fax: (315) 464-7564
Website:
Map and Directions
Authorized official contact:
Name: Welch, Thomas Doctor of Medicine (MD)
Phone: (315) 464-5450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1770539066
LBN Legal business name Pediatric Service Group
DBA Doing business as
Authorized official Welch, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Oct 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770539066 NPPES
New York MEDICAID 01215750

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