| Denise Octaviani, DO | |
|
1223 N Salina St, Syracuse, NY 13208-1519 | |
| (315) 703-3263 | |
| (315) 425-1994 |
| Full Name | Denise Octaviani |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 1223 N Salina St, Syracuse, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841286325 | NPI | - | NPPES |
| 01604911 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 197696-1 (New York) | Primary |
| Entity Name | Octaviani Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437517463 PECOS PAC ID: 4880985704 Enrollment ID: O20160624000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Octaviani, DO 7999 Austrian Pine Cir, Manlius, NY 13104-9372 Ph: (315) 703-3263 | Denise Octaviani, DO 1223 N Salina St, Syracuse, NY 13208-1519 Ph: (315) 703-3263 |
Asmita Gautam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 East Genesee St., 5th Floor, Syracuse, NY 13210 Phone: 315-464-2929 Fax: 315-464-2930 | |
Amy Elizabeth Roy, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E Genesee St, Suite 300, Syracuse, NY 13210 Phone: 315-471-1044 Fax: 315-474-4312 | |
Andrew Paul Aiken, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Va Medical Center Outpatient Cardiology, Syracuse, NY 13210 Phone: 315-425-4400 | |
Pamela Sue Horst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Prospect Ave, Palliative Care, Syracuse, NY 13203 Phone: 315-448-5175 Fax: 315-448-3557 | |
Amogechukwu N Okonkwo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 819 S Salina St, Syracuse, NY 13202 Phone: 315-476-7921 Fax: 315-475-1448 | |
Kevin E Gaskin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4363 Fax: 315-464-8690 | |
Brigitte Mcgrath, Family Medicine Medicare: Medicare Enrolled Practice Location: 847 James St, Syracuse, NY 13203 Phone: 315-471-1184 |