Richard J Distefano in East Syracuse - Orthopaedic Surgery Of The Spine
Richard J Distefano - NPI 1972608586
Richard J Distefano is a Orthopaedic Surgery Of The Spine in East Syracuse, New York. Richard J Distefano practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Richard J Distefano is 1972608586. The last update date is 2018-04-06.
Richard J Distefano's current location address is 5824 Widewaters Pkwy, East Syracuse, New York. You can contact this provider via phone number 3152513105 and fax number 3155526018. The mailing address for Richard J Distefano is 5824 Widewaters Pkwy, East Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard J Distefano |
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Address | 5824 Widewaters Pkwy, East Syracuse, New York |
Phone Number | 3152513105 |
Fax Number | 3155526018 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1972608586 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2018-04-06 |
Provider Mailing Address Detail
Address | 5824 Widewaters Pkwy |
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City | East Syracuse |
State | New York (NY) |
Post Code | 130573072 |
Phone Number | 3152513105 |
Fax Number | 3155526018 |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Surgery Of The Spine |
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Taxonomy | 207Xs0117X |
Licence No | 187682 |
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1556927 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard J Distefano?
The Richard J Distefano has been issued the NPI (National Provider Identifier) 1972608586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard J Distefano is geographically located?
The Richard J Distefano is physically situated at the following location: 5824 Widewaters Pkwy, East Syracuse, NY, 130573072.
When did Richard J Distefano receive its 1972608586 assignment?
The Richard J Distefano was assigned its 1972608586 on 2006-09-14, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972608586 to Richard J Distefano?
The Centers for Medicare & Medicaid Services originally issued the 1972608586 to Richard J Distefano on 2006-09-14.
When was the information regarding Richard J Distefano, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard J Distefano, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-04-06.