Upstate Emergency Medicine, Inc

LBN: Upstate Emergency Medicine, Inc
Upstate Emergency Medicine, Inc is an health care organization with primary practice located at 750 E. Adams St. , Syracuse NY 13210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Upstate Emergency Medicine, Inc can be contacted via phone (315) 464-4363, or through Johnson, Gary A. via phone (315) 464-4363.

Contact Information

Primary practice address
750 E. Adams St. Syracuse NY 13210
Phone: (315) 464-4363
Fax: (315) 464-8690
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Gary A.
Phone: (315) 464-4363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1275589582
LBN Legal business name Upstate Emergency Medicine, Inc
DBA Doing business as
Authorized official Johnson, Gary A.
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 1275589582 NPPES
New York MEDICAID 01713831

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