MEDICARE: MONIKA HYDE MD

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	207W00000X	Ophthalmology Physician	8573066	NY

General Provider Information

NPI Number	:	1275854796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA HYDE MD

Provider Business Mailing Address
First Line	:	1101 ERIE BLVD E
Second Line	:	SUITE 100
City	:	SYRACUSE
State	:	NY
Zip	:	13210-1148
Country	:	US
Telephone Number	:	315-422-4412
Fax Number	:	315-422-4690

Provider Business Practice Location Address
First Line	:	1101 ERIE BLVD E
Second Line	:	SUITE 100
City	:	SYRACUSE
State	:	NY
Zip	:	13210-1148
Country	:	US
Telephone Number	:	315-422-4412
Fax Number	:	315-422-4690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	03/09/2015

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