Mark J Colaneri in Syracuse - Surgical

Mark J Colaneri - NPI 1104883842

Mark J Colaneri is a Surgical in Syracuse, New York. Mark J Colaneri practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark J Colaneri is 1104883842. The last update date is 2007-07-08.

Mark J Colaneri's current location address is 5719 Widewaters Pkwy, Syracuse, New York. You can contact this provider via phone number 3152513100 and fax number 3154499923. The mailing address for Mark J Colaneri is 5719 Widewaters Pkwy, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J Colaneri
Address 5719 Widewaters Pkwy, Syracuse, New York
Phone Number 3152513100
Fax Number 3154499923
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1104883842
Provider Enumeration Date 2006-04-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5719 Widewaters Pkwy
City Syracuse
State New York (NY)
Post Code 132141880
Phone Number 3152513100
Fax Number 3154499923

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 8743
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Mark J Colaneri

What is the unique provider identifier assigned to Mark J Colaneri?

The Mark J Colaneri has been issued the NPI (National Provider Identifier) 1104883842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Mark J Colaneri located?

The Mark J Colaneri is located at 5719 Widewaters Pkwy, Syracuse, NY 132141880.

What is Mark J Colaneri's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark J Colaneri's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Mark J Colaneri receive the assignment of its 1104883842 from the Centers for Medicare & Medicaid Services?

The Mark J Colaneri was issued its 1104883842 by the Centers for Medicare & Medicaid Services on 2006-04-27.

As of what date was the information pertaining to Mark J Colaneri, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark J Colaneri, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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