Healthcare Provider Details

I. General information

NPI: 1235691379
Provider Name (Legal Business Name): SNY CARE OF NY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 ROUTE 55 STE 1A
LAGRANGEVILLE NY
12540-5054
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 350
NASHVILLE TN
37205-2216
US

V. Phone/Fax

Practice location:
  • Phone: 615-386-0046
  • Fax:
Mailing address:
  • Phone: 615-386-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ROBSON
Title or Position: BILLING AND CREDENTIALING LEAD
Credential:
Phone: 615-557-2352