DR. LLENI PACH


Address: 302 Halton Rd, Syracuse, NY 13224-2228
Phone: 3154465094

DR. LLENI PACH (NPI# 1275981953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275981953
Entity Type Individual
Full Name DR. LLENI PACH
Credential M.D
Practice Address 302 Halton Rd
Syracuse
NY 13224-2228
Practice Telephone 3154465094
Mailing Telephone 3154465094
Enumeration Date 2016-06-02
Last Update Date 2016-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 60-117420 NY Other Service Providers

Office Location

Street Address 302 HALTON RD
City SYRACUSE
State NY
Zip Code 13224-2228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598329534 Judie Lyn Gordon-louison Registered Nurse 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 2019-04-25
1669942363 Julie E. Clonan Speech-Language Pathologist 3049 E. Genesee St., Syracuse, NY 13224 2018-11-26
1043604762 Heather Lynn Blum Licensed Practical Nurse 120 Niven Street, Syracuse, NY 13224 2015-03-19
1912226523 Florence Delisi Licensed Practical Nurse 2315 East Fayette St, Syracuse, NY 13224 2010-05-21
1336476563 Kimberlee Anne Difulio Licensed Practical Nurse 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 2009-11-09
1134371081 Amy Lynn Ezekiel Speech-Language Pathologist 3049 East Genesee Street, Syracuse, NY 13224 2008-10-22
1104951490 Daniel Stephen Delluomo Dentist 3175 East Genesee St, Suite 2, Syracuse, NY 13224 2007-02-23
1447317037 Fumiyo Hirano Social Worker 182 Edgehill Road, Syracuse, NY 13224 2007-01-02
1295811198 Mark A Matloff Psychologist 409 Standish Drive, Syracuse, NY 13224 2006-10-31
1235222530 Bernadine Alese Martin Dentist 1125 Salt Springs Road, Syracuse, NY 13224 2006-10-02
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427664804 Claire I Williams Specialist 443 Westbrook Hills Dr, Syracuse, NY 13215-1886 2020-09-21
1396377313 Amanda Hopkins Specialist 123 Claire Rd, Syracuse, NY 13214-1907 2020-02-07
1679012975 Dalia Faouzi Eid Specialist 500 Harrison St Geneva Tower, Apt 1603, Syracuse, NY 13202-0000 2017-02-20
1891238150 Maria Todeschini Specialist 102 Suffolk Rd, Syracuse, NY 13219-1051 2016-11-18
1740734565 Amanda Nicole Smith Specialist 116 Marian Dr, Syracuse, NY 13219-2423 2016-08-10
1497120711 Siani Ym Amidon Specialist 3353 Pleasant Valley Rd, Syracuse, NY 13215-8673 2015-12-11
1154791283 Jessica Burton Specialist 215 Sedgwick St, Syracuse, NY 13203-3052 2015-10-01
1144636978 Kelly Rotella Specialist 515 Parsons Dr, Syracuse, NY 13219-2349 2014-07-01
1891100798 Linda Bogart Specialist 305 Hillside St, Syracuse, NY 13208-2341 2014-06-30
1669722237 Kimberly Tortorici Specialist 1951 Caleb Avenue, Syracuse, NY 13206 2012-09-11
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Competitor

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City SYRACUSE
Zip Code 13224

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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