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General NPI Number Information
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NPI Number | 1871987461
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Entity Type | Organization
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Legal Business Name | ONEIDA MEDICAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 301 GENESEE ST STE D
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City | ONEIDA
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State | NY
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Zip | 13421-2644
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Country | US
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Telephone | 315-363-9380
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Fax | 315-363-9382
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Provider Business Mailing Address
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Address Line | 139 FIELDS DR
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City | ONEIDA
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State | NY
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Zip | 13421-2642
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Country | US
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Telephone | 315-363-9380
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Fax | 315-363-9382
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | OFRONA REID
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Credential | MD
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Telephone | 315-361-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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