MEDICARE: ARTHUR F COLI 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	171778	NY
2	207WX0120X	Cornea and External Diseases Specialist Physician	171778	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1295723534	OTHER	NY	GROUP PRACTICE NPI

General Provider Information

NPI Number	:	1558456707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR F COLI MD

Provider Business Mailing Address
First Line	:	5792 WIDEWATERS PKWY STE 101
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13214-1847
Country	:	US
Telephone Number	:	315-422-4412
Fax Number	:

Provider Business Practice Location Address
First Line	:	5792 WIDEWATERS PKWY STE 101
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13214-1847
Country	:	US
Telephone Number	:	315-422-4412
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	04/04/2023

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Directions to “ ARTHUR F COLI MD” Practice Location

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