Active NPI
GYN Oncology of Cny, PC
- Gynecologic Oncology Physician
- East Syracuse, NY
National Provider Identifier
1407952260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- GYN ONCOLOGY OF CNY, PC
- Practice address
- 5008 Brittonfield Pkwy
Suite 400
East Syracuse, NY 13057-9248 - Phone
- (315) 634-4112
- Fax
- (315) 634-4117
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wiley Douglas Bunn, MD
- Title
- Physician/ Partner
- Phone
- (315) 634-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
5008 Brittonfield Pkwy
Suite 400
East Syracuse, NY 13057-9248
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
National Provider Directory
National Provider DirectoryLocations
5008 Brittonfield Pkwy
Ste 400
East Syracuse, NY 13057
Phone (315) 634-4112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1407952260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-476-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY",
"address_2": "SUITE 400",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579248",
"telephone_number": "315-634-4112",
"fax_number": "315-634-4117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYN ONCOLOGY OF CNY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "BUNN",
"authorized_official_first_name": "WILEY",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PHYSICIAN/ PARTNER",
"authorized_official_telephone_number": "315-634-4112",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.