Rodner, Dylan
Rodner, Dylan is an individual health care provider with primary practice located at 5000 Brittonfield Pkwy Suite A100, East Syracuse NY 13057-9226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rodner, Dylan can be contacted via phone (315) 449-3800.Contact Information
Primary practice address
5000 Brittonfield Pkwy Suite A100
East Syracuse NY 13057-9226
Phone: (315) 449-3800
Fax: (315) 449-1246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001653 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 008762 | New York |
Profile Details
| NPI number | 1669599882 |
|---|---|
| LBN Legal business name | Rodner, Dylan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Mar 12th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669599882 | NPPES |
| New York | Other | 008762 | STATE LICENSE |
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