Healthcare Provider Details

I. General information

NPI: 1689953135
Provider Name (Legal Business Name): SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8324 OSWEGO RD STE B
LIVERPOOL NY
13090-1026
US

IV. Provider business mailing address

PO BOX 580
SYRACUSE NY
13214-0580
US

V. Phone/Fax

Practice location:
  • Phone: 315-418-4188
  • Fax: 315-622-5740
Mailing address:
  • Phone: 315-251-3100
  • Fax: 315-449-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: TODD BATTAGLIA
Title or Position: PRESIDENT
Credential: MD
Phone: 315-251-3100