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General NPI Number Information
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NPI Number | 1275583486
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Entity Type | Organization
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Legal Business Name | CNY INTERNISTS, PC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5823 WIDEWATERS PKWY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-3071
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Country | US
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Telephone | 315-449-4028
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Fax | 315-449-2341
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Provider Business Mailing Address
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Address Line | 5823 WIDEWATERS PKWY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-3071
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Country | US
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Telephone | 315-449-4028
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Fax | 315-449-2341
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT CUPELO
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Credential | M.D.
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Telephone | 315-449-4028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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