Healthcare Provider Details

I. General information

NPI: 1356583686
Provider Name (Legal Business Name): JOSEPH PATRICK RESTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST # UH4143
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

200 LOTHROP ST UPMC MONTEFIORE, SUITE N713
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-4720
  • Fax: 315-464-4905
Mailing address:
  • Phone: 412-692-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number272235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: