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NPI Code Detail

MEDICARE: MARIA HENDIX

MEDICARE: MARIA HENDIX
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
1174400000XSpecialist245162NY

General Provider Information

NPI Number : 1750218343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA HENDIX
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number :
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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1497080402 — MARY LEE-VANG
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1124348735 — TIFFANY DIMATTEO
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1326352618 — KIMBERLY ANNE CAMPBELL
Practice Location Address:
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Directions to “ MARIA HENDIX ” Practice Location

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