Healthcare Provider Details

I. General information

NPI: 1174711774
Provider Name (Legal Business Name): NESIM CONTENTE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E WATER ST
SYRACUSE NY
13202-1159
US

IV. Provider business mailing address

215 E WATER ST
SYRACUSE NY
13202-1159
US

V. Phone/Fax

Practice location:
  • Phone: 315-472-6935
  • Fax: 315-472-6936
Mailing address:
  • Phone: 315-472-6935
  • Fax: 315-472-6936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number148127
License Number StateNY

VIII. Authorized Official

Name: CINDY FOLEY
Title or Position: BILLING MANAGER
Credential:
Phone: 315-472-6935