St Joseph'S Medical PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ST JOSEPH'S MEDICAL PC

Practice address

104 Union Ave
Ste 1005
Syracuse, NY 13203-1843

Phone

(315) 424-0790

Fax

(315) 475-0916

NPI assigned

Mar 9, 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, MD

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

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Syracuse, NY
  • NPI 1306205034
  NPD tax ID

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1609237304",
    "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 1005",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031843",
            "telephone_number": "315-424-0790",
            "fax_number": "315-475-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03370858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Srinivasan, M.D.
• St Joseph'S Hospital Health Center
• St Joseph'S Hospital Health Center
• St Joseph'S Hospital Health Center
• St Joseph'S Hospital Health Center
• St Josephs Hospital Health Center
• Hugo St-Amand, MD, FRCSC
• Carina St. Andrews
• St. Camillus Residential Health Care Facility
• St. Camillus Residential Health Care Facility

• Vascular Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.