St. Joseph'S Medical PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

ST. JOSEPH'S MEDICAL PC

Practice address

104 Union Ave
Ste 1001-1002
Syracuse, NY 13203-1843

Phone

(315) 423-7192

Fax

(315) 423-8013

NPI assigned

Feb 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandra M. Sulik, M.D.

Title

President

Phone

(315) 744-1865

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Josephs Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Joseph'S Medical PC

  • Vascular Surgery Physician
  • Syracuse, NY
  • NPI 1609237304
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1306205034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "STE 1D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-744-1865",
            "fax_number": "315-744-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVE",
            "address_2": "STE 1001-1002",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031843",
            "telephone_number": "315-423-7192",
            "fax_number": "315-423-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-744-1865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03370858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Camillus Residential Health Care Facility
• St. Camillus Residential Health Care Facility
• St. Camillus Residential Health Care Facility
• Brittany St. Dennis, LPN
• St. Joseph'S Ekg Associates, LLP
• St. Joseph'S Pathology, PC
• Gregory Alfred St. Phillips, LPN
• Aliette St.Hilaire, CRNA
• Steven M St.Onge, PHARMD
• Holly Stacey, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.