CNY THORACIC SURGERY PC (NPI# 1689772717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689772717 |
| Entity Type | Organization |
| Organization Name | CNY THORACIC SURGERY PC |
| Practice Address |
5100 West Taft Rd Ste 2e Liverpool NY 13088 |
| Practice Telephone | 3156343399 |
| Practice Fax Number | 3156343395 |
| Mailing Telephone | 3156343399 |
| Mailing Fax Number | 3156343395 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID W WORMUTH (PRESIDENT) |
| Authorized Official Telephone | 3156343399 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | NY | Other Service Providers |
| Street Address |
5100 WEST TAFT RD STE 2E |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356653729 | Shain L Wallis | Radiology | 5100 West Taft Rd, Ste 2a, Liverpool, NY 13088 | 2010-07-13 |
| 1437314440 | Tracy Elizabeth Sudore | Surgery | 5100 West Taft Rd, Ste 2e, Liverpool, NY 13088 | 2008-07-20 |
| 1992877591 | Yana Popilevskaya | Physician Assistant | 5100 West Taft Rd, Ste 2e, Liverpool, NY 13088 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851671929 | Michael Cohen | Specialist | 104 Floradale Rd, Liverpool, NY 13088-5622 | 2011-08-22 |
| 1255463964 | Child Health Care Associates Practice of Pediatrics | Specialist | 8138 Oswego Rd, Liverpool, NY 13090-1500 | 2007-03-09 |
| 1366491714 | Peter William Nicolini | Specialist | 4338 Wetzel Rd, Liverpool, NY 13090-2011 | 2006-05-10 |
| 1396700985 | Atul Maini | Specialist | 5100 W Taft Rd Ste 2e, Upstate Surgical Group P.C., Liverpool, NY 13088-4841 | 2006-04-18 |
| 1770833816 | North Area Medical Group, P.C. | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2012-09-17 |
| 1265782411 | University Hill Gastroenterology Associates, P.C. | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2012-09-14 |
| 1629261722 | Hui Hing Tin | Specialist | 5112 W Taft Road, Suite H, Liverpool, NY 13088 | 2007-08-22 |
| 1083756555 | Sarah Elizabeth Smith | Specialist | 195 Blackberry Rd, Liverpool, NY 13090-3047 | 2007-02-13 |
| 1629176755 | Upstate Surgical Group PC | Specialist | 5100 W Taft Rd, Ste 2e, Liverpool, NY 13088-3807 | 2006-09-20 |
| 1174595623 | Geeta Roy | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2006-02-07 |
| Find all providers in LIVERPOOL | ||||
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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.