CNY NEURODIAGNOSTICS PLLC (NPI# 1619367885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367885 |
| Entity Type | Organization |
| Organization Name | CNY NEURODIAGNOSTICS PLLC |
| Practice Address |
1101 Erie Blvd E Syracuse NY 13210-1148 |
| Mailing Address |
445 Factory St Watertown NY 13601-2729 |
| Practice Telephone | 3154818777 |
| Practice Fax Number | 3157828699 |
| Mailing Telephone | 3157824207 |
| Mailing Fax Number | 3157868699 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | DR. SAMAH OMER MOHIUDDIN (OWNER) |
| Authorized Official Telephone | 3154818777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
266512 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PENDING | 05 |
| Street Address |
1101 ERIE BLVD E |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091315 | Kenneth H Spitzer | Ophthalmology | 1101 Erie Blvd E, Ste 100, Syracuse, NY 13210-1144 | 2005-05-27 |
| 1083013965 | Central New York Retinal Associates PC | Ophthalmology | 1101 Erie Blvd E, Suite 210, Syracuse, NY 13210-1148 | 2014-08-18 |
| 1447510888 | Nicolas Uzcategui Eye Physician and Surgeon Pllc | Ophthalmology | 1101 Erie Blvd E, Suite 200, Syracuse, NY 13210-1148 | 2012-05-19 |
| 1275854796 | Monika Hyde | Ophthalmology | 1101 Erie Blvd E, Suite 100, Syracuse, NY 13210-1148 | 2010-06-18 |
| 1922254408 | Rabia Rizwana | Psychiatry & Neurology | 1101 Erie Blvd E, Suite 204, Syracuse, NY 13210-1148 | 2008-08-15 |
| 1497950968 | Jeannine Ann Bordonaro | Psychiatry & Neurology | 1101 Erie Blvd E, Suite 214, Syracuse, NY 13210-1144 | 2007-06-15 |
| 1235348996 | Sayeeda Taj Mohiuddin | Obstetrics & Gynecology | 1101 Erie Blvd E, Suite 204, Syracuse, NY 13210-1144 | 2007-05-21 |
| 1346379609 | Allan Yozawitz | Clinical Neuropsychologist | 1101 Erie Blvd E, Suite 207, Syracuse, NY 13210-1144 | 2007-03-05 |
| 1306983184 | Lisa Giocondo | Optometrist | 1101 Erie Blvd E, Suite 100, Syracuse, NY 13210-1144 | 2007-01-31 |
| 1912072091 | Mihai Tiberiu Simionescu | Psychiatry & Neurology | 1101 Erie Blvd E, Suite 214, Syracuse, NY 13210-1148 | 2006-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301587 | Jenny Adele Meyer | Psychiatry & Neurology | 90 Presidential Plz Fl 4, Syracuse, NY 13202-2240 | 2013-03-28 |
| 1407909286 | Ziad Mk El-zammar | Psychiatry & Neurology | 888 E Brighton Ave, Syracuse, NY 13205-2538 | 2007-01-18 |
| 1518037241 | Antonio V Marasigan | Psychiatry & Neurology | 104 Union Ave Ste 805, Syracuse, NY 13203-1844 | 2006-11-09 |
| 1851781108 | Greater Cny Neurology Care, Pllc | Psychiatry & Neurology | 888 E Brighton Ave, Syracuse, NY 13205-2538 | 2015-01-26 |
| 1649699570 | Ruham Alshiekh Nasany | Psychiatry & Neurology | 750 East Adams Street, Syracuse, NY 13210 | 2014-04-08 |
| 1184050973 | Medical Services of Syracuse | Psychiatry & Neurology | 183 Intrepid Ln, Syracuse, NY 13205-2548 | 2013-09-24 |
| 1225472525 | Awss Zidan | Psychiatry & Neurology | 750 E Adams St, Suny Upstate University Hospital, Syracuse, NY 13210-2342 | 2013-04-18 |
| 1215295282 | Susama Verma Md Pllc | Psychiatry & Neurology | 1816 Erie Blvd E, Ste B, Syracuse, NY 13210-1230 | 2012-04-27 |
| 1720367733 | Vikas Gupta | Psychiatry & Neurology | 739 Irving Ave, Suite 340, Syracuse, NY 13210-1651 | 2011-08-08 |
| 1205124526 | Savita Kumari | Psychiatry & Neurology | 739 Irving Ave, Suite 340, Syracuse, NY 13210-1651 | 2011-07-20 |
| 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.