Cny Child Neurology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

159000 Issued in NY

Legal business name

CNY CHILD NEUROLOGY ASSOCIATES

Practice address

5850 Heritage Landing Dr
East Syracuse, NY 13057-9359

Phone

(315) 446-2985

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nancy J Havernick, M.D.NPI 1952431421

Title

Owner

Phone

(315) 446-2985

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy J Havernick, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • E Syracuse, NY
  • NPI 1952431421
  NPD (past) Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1578747192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579359",
            "telephone_number": "315-446-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579359",
            "telephone_number": "315-446-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY CHILD NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "HAVERNICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-446-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "159000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaniece Nichelle Clark
• Dale S Clemens
• Franchesca I Clemente, LCSW
• Kelly Marie Clochessy, CCC-SLP
• Lorrie Clute, OTR/L
• Cny Chiropractic, PC
• Cny Cosmetic & Reconstructive Surgery LLC
• Cny Family Care, LLP
• Cny Foot Surgery & Podiatry Care, PC
• Cny Internists, PC

• Specialist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.