| Syracuse Otolaryngology Llc | |
|
101 Richmond Ave Ste 320 Syracuse NY 13204-2298 | |
| (315) 254-2030 | |
| (315) 254-2031 |
| Full Name | Syracuse Otolaryngology Llc |
|---|---|
| Speciality | Otolaryngology |
| Location | 101 Richmond Ave Ste 320, Syracuse, New York |
| Authorized Official Name and Position | Parul Goyal (MEMBER) |
| Authorized Official Contact | 3152542030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Otolaryngology Llc 101 Richmond Ave Ste 320 Syracuse NY 13204 Ph: (315) 254-2030 | Syracuse Otolaryngology Llc 101 Richmond Ave Ste 320 Syracuse NY 13204-2298 Ph: (315) 254-2030 |
| NPI Number | 1467876490 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 0749403863 |
|---|---|
| Medicare Enrollment ID | O20140519000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467876490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Parul Goyal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598791543 PECOS PAC ID: 5496781833 Enrollment ID: I20071106000029 |
| Provider Name | John W Ingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508905548 PECOS PAC ID: 8426236654 Enrollment ID: I20131018000510 |
| Provider Name | Lindsey Koester Goyal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851753859 PECOS PAC ID: 7517359557 Enrollment ID: I20220802000701 |
Updesign Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 812 State Fair Blvd Ste 2a, Syracuse, NY 13209 Phone: 315-256-0490 Fax: 315-887-4240 | |
Suny Upstate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Presidential Plz, Syracuse, NY 13202 Phone: 315-464-3833 | |
Upstate Family And Preventive Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 Irving Ave, Suite 200, Syracuse, NY 13210 Phone: 315-464-4686 Fax: 315-464-7106 | |
Gianna Of Syracuse Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Chapel Dr., Syracuse, NY 13219 Phone: 585-310-8787 | |
Syracuse Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 S Salina St, Syracuse, NY 13202 Phone: 315-476-7921 | |
St. Camillus Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Fay Rd, Syracuse, NY 13219 Phone: 315-488-2951 Fax: 315-488-7734 | |
Paul S Cohen, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 E Genesee St Ste 500, Syracuse, NY 13210 Phone: 315-471-8388 Fax: 315-471-8019 |