Gustavo De La Roza, MD | |
750 E Adams St, Syracuse, NY 13210-2306 | |
(315) 464-6751 | |
(315) 464-6749 |
Full Name | Gustavo De La Roza |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 38 Years |
Location | 750 E Adams St, Syracuse, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336253186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 216982-1 (New York) | Primary |
207ZP0101X | Pathology - Anatomic Pathology | 216982-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Pathologists Laboratories, Llp | 8325038276 | 23 |
Entity Name | University Pathologists Laboratories, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033150917 PECOS PAC ID: 8325038276 Enrollment ID: O20040513001074 |
Mailing Address | Practice Location Address |
---|---|
Gustavo De La Roza, MD 250 Harrison St, Suite 502, Syracuse, NY 13202-3065 Ph: (315) 464-6751 | Gustavo De La Roza, MD 750 E Adams St, Syracuse, NY 13210-2306 Ph: (315) 464-6751 |
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 |