| Loretto Geriatric Center | |
|
700 E Brighton Ave Syracuse NY 13205-2201 | |
| (315) 469-5570 | |
| Not Available |
| Full Name | Loretto Geriatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 E Brighton Ave, Syracuse, New York |
| Authorized Official Name and Position | Kathleen M Collins (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3154133277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretto Geriatric Center 700 E Brighton Ave Syracuse NY 13205-2201 Ph: (315) 469-5570 | Loretto Geriatric Center 700 E Brighton Ave Syracuse NY 13205-2201 Ph: (315) 469-5570 |
| NPI Number | 1548366271 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 3678560703 |
|---|---|
| Medicare Enrollment ID | O20040429000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548366271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3301209R (New York) | Primary |
| Provider Name | Douglas J Dickson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083649008 PECOS PAC ID: 1355245416 Enrollment ID: I20031121000121 |
| Provider Name | Douglas Berkley Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588093843 PECOS PAC ID: 7315937778 Enrollment ID: I20040517000883 |
| Provider Name | Carolyn A Cutre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831138510 PECOS PAC ID: 9931170289 Enrollment ID: I20040805000962 |
| Provider Name | Karen K Heitzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073559845 PECOS PAC ID: 2365541935 Enrollment ID: I20070621000616 |
| Provider Name | Desta R Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093721102 PECOS PAC ID: 6002906161 Enrollment ID: I20071213000490 |
| Provider Name | Howard J Kass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073518858 PECOS PAC ID: 4385796705 Enrollment ID: I20090716000201 |
| Provider Name | Astrid Victoria Ranaldi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144661638 PECOS PAC ID: 4183949399 Enrollment ID: I20150211000342 |
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 |