| Medical Services Of Syracuse | |
|
183 Intrepid Ln Syracuse NY 13205-2548 | |
| (315) 498-5430 | |
| Not Available |
| Full Name | Medical Services Of Syracuse |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 183 Intrepid Ln, Syracuse, New York |
| Authorized Official Name and Position | Ijaz Rashid (SOLE PROVIDER) |
| Authorized Official Contact | 9136690576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Services Of Syracuse 183 Intrepid Ln Syracuse NY 13205-2548 Ph: (315) 498-5430 | Medical Services Of Syracuse 183 Intrepid Ln Syracuse NY 13205-2548 Ph: (315) 498-5430 |
| NPI Number | 1184050973 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 12/03/2014 |
| Medicare PECOS PAC ID | 0547480485 |
|---|---|
| Medicare Enrollment ID | O20140929000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184050973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 256216 (New York) | Primary |
| Provider Name | Ijaz Rashid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003138058 PECOS PAC ID: 3577533108 Enrollment ID: I20100611000448 |
| Provider Name | Deborah H Bedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588040331 PECOS PAC ID: 5092015966 Enrollment ID: I20181029000939 |
| Provider Name | Lizandra Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735010 PECOS PAC ID: 9032449244 Enrollment ID: I20201221002338 |
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