=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548219405
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SILVIU VALERIU PASNICIUC MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2006
-----------------------------------------------------
Last Update Date | 08/03/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5008 BRITTONFIELD PKWY
-----------------------------------------------------
City | EAST SYRACUSE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-472-7504
-----------------------------------------------------
Fax | 315-634-4677
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5008 BRITTONFIELD PKWY
-----------------------------------------------------
City | EAST SYRACUSE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13057-9248
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-472-7504
-----------------------------------------------------
Fax | 315-634-4677
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 264616
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------