Healthcare Provider Details

I. General information

NPI: 1942379201
Provider Name (Legal Business Name): JAMES LOUIS PFEIFF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 GENESEE ST ATTN: WOUND CARE
ONEIDA NY
13421
US

IV. Provider business mailing address

321 GENESEE ST
ONEIDA NY
13421-2611
US

V. Phone/Fax

Practice location:
  • Phone: 315-361-2268
  • Fax: 315-361-2968
Mailing address:
  • Phone: 315-361-2268
  • Fax: 315-361-2968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES L PFEIFF
Title or Position: OWNER
Credential: MD
Phone: 315-363-9380