Plastic & Reconstructive Surgery of Cny PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

124408 Issued in NY

Legal business name

PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC

Practice address

475 Irving Ave
Suite 320
Syracuse, NY 13210-1756

Phone

(315) 425-7822

Fax

(315) 425-7885

NPI assigned

Nov 17, 2006

Last updated

Jan 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy A Bidwell

Title

Billing Supervisor

Phone

(315) 752-0141

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1851465496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31",
            "address_2": "SUITE 104",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398724",
            "telephone_number": "315-752-0141",
            "fax_number": "315-752-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 320",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-425-7822",
            "fax_number": "315-425-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "315-752-0141"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "145420",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "124408",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "124408",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "145420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pizzuti, MD
• Julianna Place
• Christa Emi Plamondon
• Ryan Planer, MD
• Marylou Plante
• Plastic Surgery Associates of Cny
• Kristin Platt, LMSW
• Lenee Michele Plauche, MD
• Justine Carrie Playford
• Plaza Nursing Home Company Inc. (Rosewood Heights Health Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.