Healthcare Provider Details

I. General information

NPI: 1578298238
Provider Name (Legal Business Name): HARSHIL J. GUMASANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 08/05/2025
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 EAST ADAMS ST.
SYRACUSE NY
13210
US

IV. Provider business mailing address

750 EAST ADAMS ST.
SYRACUSE NY
13210
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5910
  • Fax: 315-464-1937
Mailing address:
  • Phone: 315-464-5910
  • Fax: 315-464-1937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number337748
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: