Upstate Community Medical, Pc

LBN: Upstate Community Medical, Pc
Upstate Community Medical, Pc is an health care organization with primary practice located at 4900 Broad Rd , Syracuse NY 13215-2265. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Upstate Community Medical, Pc can be contacted via phone (315) 492-5305, or through Tucker, Amy via phone (315) 464-4255.

Contact Information

Primary practice address
4900 Broad Rd Syracuse NY 13215-2265
Phone: (315) 492-5305
Fax: (315) 492-5320
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Amy Doctor of Medicine (MD)
Phone: (315) 464-4255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1689620163
LBN Legal business name Upstate Community Medical, Pc
DBA Doing business as
Authorized official Tucker, Amy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Mar 3rd, 2021 - about 5 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 1689620163 NPPES
New York MEDICAID 02771722
New York Other DE7448

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