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NPI Code Detail

MEDICARE: SYDNEY DENO

MEDICARE:   SYDNEY  DENO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1255191037
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY DENO
Provider Business Mailing Address
First Line : 2320 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2222
Country : US
Telephone Number : 518-902-0108
Fax Number :
Provider Business Practice Location Address
First Line : 2320 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2222
Country : US
Telephone Number : 518-902-0108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2024
Last Update Date : 03/20/2024

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Directions to “ SYDNEY DENO ” Practice Location

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