SYRACUSE OTOLARYNGOLOGY PLLC (NPI# 1467876490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467876490 |
| Entity Type | Organization |
| Organization Name | SYRACUSE OTOLARYNGOLOGY PLLC |
| Other Organization Name | SYRACUSE OTOLARYNGOLOGY LLC |
| Practice Address |
101 Richmond Ave Ste 320 Syracuse NY 13204-2298 |
| Mailing Address |
101 Richmond Ave Ste 320 Syracuse NY 13204 |
| Practice Telephone | 3152542030 |
| Practice Fax Number | 3152542031 |
| Mailing Telephone | 3152542030 |
| Mailing Fax Number | 3152542031 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MR. PARUL GOYAL (MEMBER) |
| Authorized Official Telephone | 3152542030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center For Specialty Medicine And Surgery LLC | Doing Business As Name - Organization |
| Syracuse Otolaryngology LLC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 528 Amboy Ave, Perth Amboy, NJ 088613118 | 3152542030 |
| Street Address |
101 RICHMOND AVE STE 320 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791543 | Parul Goyal | Otolaryngology | 101 Richmond Ave Ste 320, Syracuse, NY 13204-2298 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188637 | Daniel D Rabuzzi | Otolaryngology | 7 Erregger Ter, Syracuse, NY 13224-2151 | 2013-04-16 |
| 1518293166 | Mark Marzouk | Otolaryngology | 750 Eadams Street, Syracuse, NY 13210 | 2009-11-02 |
| 1588750814 | Michael J Paciorek | Otolaryngology | Broad Rd S 2d, Community General Hospital Pob, Syracuse, NY 13215 | 2006-10-05 |
| 1952497026 | Michael J Paciorek Md PC | Otolaryngology | Broad Rd South 2d, Community General Hospital Pob, Syracuse, NY 13215 | 2006-10-05 |
| 1598791543 | Parul Goyal | Otolaryngology | 101 Richmond Ave Ste 320, Syracuse, NY 13204-2298 | 2006-06-23 |
| 1225080393 | Cny Ear Nose Throat Consultants | Otolaryngology | 1100 E Genesee St, Syracuse, NY 13210 | 2006-05-17 |
| 1528055308 | Hayes Wanamaker | Otolaryngology | 721 E Genesee St, Fl 2nd, Syracuse, NY 13210-1505 | 2005-10-05 |
| 1174753594 | Erinn White | Otolaryngology | 3906 E Genesee St, Syracuse, NY 13214-1934 | 2009-07-20 |
| 1255599494 | Amar C Suryadevara | Otolaryngology | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-05-23 |
| 1225204274 | Haidy Adly Marzouk | Otolaryngology | 750 E Adams St, Dept. of Otolaryngology, Syracuse, NY 13210-2306 | 2008-04-30 |
| Find all providers in SYRACUSE | ||||
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| 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.