Healthcare Provider Details

I. General information

NPI: 1740252618
Provider Name (Legal Business Name): ARTHRITIS HEALTH ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5794 WIDEWATERS PKWY
SYRACUSE NY
13214
US

IV. Provider business mailing address

5794 WIDEWATERS PKWY
SYRACUSE NY
13214
US

V. Phone/Fax

Practice location:
  • Phone: 315-422-1513
  • Fax: 315-422-5890
Mailing address:
  • Phone: 315-422-1513
  • Fax: 315-422-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: BETHANY HARRINGTON
Title or Position: IT SUPPORT
Credential: CMA, CPHIT
Phone: 315-422-1513