BRUCE MARMOR


Address: 5719 Widewaters Pkwy, Syracuse, NY 13214-1985
Phone: 3152513100

BRUCE MARMOR (NPI# 1407183569) 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) 1407183569
Entity Type Individual
Full Name BRUCE MARMOR
Credential MD
Practice Address 5719 Widewaters Pkwy
Syracuse
NY 13214-1985
Mailing Address 5824 Widewaters Pkwy
East Syracuse
NY 13057-3072
Practice Telephone 3152513100
Practice Fax Number 3154499923
Mailing Telephone 3152513100
Enumeration Date 2009-11-11
Last Update Date 2009-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 096788 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 5719 WIDEWATERS PKWY
City SYRACUSE
State NY
Zip Code 13214-1985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871598805 Michael T Clarke Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 2005-06-16
1700486065 Heather M. Stamour Nurse Practitioner 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2020-10-27
1962062364 Onondaga Orthopedics LLP Durable Medical Equipment & Medical Supplies 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2019-06-18
1548711583 Laura Yasuko Goodwell-velez Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1811448855 Laurance Goodwin IIi Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1326486754 Nicole I. Jones Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-06-07
1821330176 Anthony M Orio Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-03-25
1790036697 Marvin Balmir Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2012-10-02
1295093763 Cassandra Riggs Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214 2012-05-02
1275845760 Melissa A Cullinan Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 2010-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881108983 Nathan Fowler Dentist 3469 Erie Blvd E # 3a, Syracuse, NY 13214 2017-11-28
1841716875 Walgreen Co Durable Medical Equipment & Medical Supplies 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 2017-08-22
1124568993 Jose Alvarez Dentist 3425 Erie Blvd E Ste 1, De Witt, NY 13214 2017-02-27
1205258365 Margaret Miller Social Worker 4101 E. Genesee St, Syracuse, NY 13214 2014-01-09
1124367669 Marni Marie Millet Counselor 4309 E Genesee St Ste 4, Syracuse, NY 13214 2013-02-04
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1346530169 Affinity Rehabilitation LLP Clinic/Center 18 Arbor Lane, Dewitt, NY 13214 2011-04-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
1558676411 Jamesville-dewitt Central School District Local Education Agency (LEA) Edinger Drive, Dewitt, NY 13214 2010-08-16
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1245551506 Caitlin Elizabeth Toomey Internal Medicine 90 Presidential Plz Fl 2, Syracuse, NY 13202-2240 2010-06-21
1023245313 Tanya M George Internal Medicine 750 E Adams St - Department of Internal Medicine, Department of Internal Medicine, Syracuse, NY 13210-2342 2009-06-15
1740414853 Richard Walter Weiskopf Internal Medicine 259 East Onondaga St., Amaus Health Services At Cathedral, Syracuse, NY 13202 2009-05-05
1952585838 Indu Gupta Internal Medicine 421 Montgomery St. Onondaga County Health Department, John H. Mulroy Civic Center 9th Floor, Syracuse, NY 13202 2007-12-27
1871783969 Berton R Shayevitz Internal Medicine Ima, 518 James Street, Syracuse, NY 13203 2007-07-26
1831318799 Abha Harish Internal Medicine 550 Harrison St Ste I, Syracuse, NY 13202-3188 2007-04-25
1922152651 Beth Ann Binkowski Internal Medicine 111 Waverly Ave., Syracuse, NY 13244 2007-01-22
1154482339 Stephen J Thomas Internal Medicine 725 Irving Avenue, Suite 314, Syracuse, NY 13210 2006-12-12
1659431963 Michael P. Kenney Internal Medicine 6001 E Molloy Rd, Syracuse, NY 13211-2100 2006-12-11
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Competitor

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City SYRACUSE
Zip Code 13214

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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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