MEDICARE: ONEIDA NEUROLOGY MEDICAL CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1184560823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEIDA NEUROLOGY MEDICAL CARE PLLC

Provider Business Mailing Address
First Line	:	404 OAK ST STE 114
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13203-2998
Country	:	US
Telephone Number	:	315-885-5722
Fax Number	:	315-885-5835

Provider Business Practice Location Address
First Line	:	3250 SENECA TPKE UNIT 1
Second Line	:
City	:	CANASTOTA
State	:	NY
Zip	:	13032-5092
Country	:	US
Telephone Number	:	315-885-5722
Fax Number	:	315-885-5835

Authorized Official
Title or Position	:	OWNER
Name	:	ISLAM HASSAN
Credential	:	DO
Telephone Number	:	315-885-5722

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	06/06/2026

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