| Syracuse Neurology, Pllc | |
|
4900 Broad Rd Pob North Suite 3d Syracuse NY 13215-2265 | |
| (315) 492-5430 | |
| (315) 492-5431 |
| Full Name | Syracuse Neurology, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4900 Broad Rd, Syracuse, New York |
| Authorized Official Name and Position | Kumar Bhagavatula (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 3154925430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Neurology, Pllc 1001 W Fayette St Suite 400 Syracuse NY 13204-2859 Ph: (315) 472-1488 | Syracuse Neurology, Pllc 4900 Broad Rd Pob North Suite 3d Syracuse NY 13215-2265 Ph: (315) 492-5430 |
| NPI Number | 1770683666 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770683666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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