Cny Spine Medicine, PLLC
Organization Active NPI Neurological Surgery Physician · Fayetteville, NY
NPI 1689733974 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1689733974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 174479 (NY)
- Legal business name
- CNY SPINE MEDICINE, PLLC
- Practice address
- 4000 Medical Center Dr
Ste 4217
Fayetteville, NY 13066-6631 - Phone
- (315) 637-7900
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Gerard S Rodziewicz, MD
- Title
- Director
- Phone
- (315) 637-7900
Practitioners 2
-
Gregory R Faltyn, R-PA
National Provider Directory
Locations
8280 Willett Pkwy
Ste 202
Baldwinsville, NY 13027
Phone (315) 637-7900
4000 Medical Center Dr
Ste 4217
Fayetteville, NY 13066
Phone (315) 637-7900
4000 Medical Center Dr
#217
Fayetteville, NY 13066
Phone (315) 637-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | 174479 | NY | Yes |
| Physician Assistant |
363A00000X | 003578 | NY |
Addresses
Primary practice location
4000 Medical Center Dr
Ste 4217
Fayetteville, NY 13066-6631
Mailing address
1001 W Fayette St
Ste 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other names
- DoctorRodz
Other providers in Fayetteville, NY
- Suzanne Chick
- Caroline Cichy
- Tracy Cimino
- CMP Dental Arts PLLC
- Cny Medical Care PLLC
- Jean Ellen Cohen
- Marla Cohen
- Paul Michael Cohen
- Jeffrey P Collins
- Rosemary Ann Collins
All providers in Fayetteville, NY · Neurological Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.