Dr Kent O Hustad, MD | |
301 Prospect Ave, Syracuse, NY 13203-1807 | |
(315) 448-5416 | |
Not Available |
Full Name | Dr Kent O Hustad |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 301 Prospect Ave, Syracuse, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265424519 | NPI | - | NPPES |
01683430 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 152980 (New York) | Primary |
Mailing Address | Practice Location Address |
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Dr Kent O Hustad, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 434-9309 | Dr Kent O Hustad, MD 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 448-5416 |
Dr. Diana A Dimitrov, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-4185 | |
Dr. Michael A Jozefczyk, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 305, Syracuse, NY 13202 Phone: 315-234-3300 | |
Dr. Matthew Brian Elkins, M.D., PH.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 750 E. Adams Street, Syracuse, NY 13210 Phone: 315-464-6751 Fax: 315-464-6749 | |
Dr. Christian N Ezidiegwu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Ostrom Ave, Syracuse, NY 13210 Phone: 315-447-7041 | |
Dr. Robert John Corona Jr., DO, CPE Pathology Medicare: Medicare Enrolled Practice Location: 750 E. Adams Street, Syracuse, NY 13210 Phone: 315-464-6751 Fax: 315-464-6749 | |
Lazaro Rosales, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-6751 Fax: 315-464-6749 | |
Diandra Perez, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-7117 |