MEDICARE: DR. BETH ANN BINKOWSKI M.D.

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	207R00000X	Internal Medicine Physician	190161	NY

General Provider Information

NPI Number	:	1922152651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH ANN BINKOWSKI M.D.

Provider Business Mailing Address
First Line	:	409 SCOTT AVE.
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224
Country	:	US
Telephone Number	:	315-446-0545
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 WAVERLY AVE.
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13244
Country	:	US
Telephone Number	:	315-443-9005
Fax Number	:	315-443-9010

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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