MEDICARE: ROBERT CADY 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	207X00000X	Orthopaedic Surgery Physician	112578	NY

General Provider Information

NPI Number	:	1790752780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CADY MD

Provider Business Mailing Address
First Line	:	1001 W FAYETTE ST
Second Line	:	SUITE 400
City	:	SYRACUSE
State	:	NY
Zip	:	13204-2859
Country	:	US
Telephone Number	:	315-472-1488
Fax Number	:	315-472-8060

Provider Business Practice Location Address
First Line	:	6800 E GENESEE ST
Second Line	:	SUITE 1501
City	:	FAYETTEVILLE
State	:	NY
Zip	:	13066-1089
Country	:	US
Telephone Number	:	315-671-0317
Fax Number	:	315-671-0320

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	06/12/2008

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