| Dr Bruce E Fredrickson, MD | |
|
550 Harrison St, Ste 130, Syracuse, NY 13202-3064 | |
| (315) 464-4472 | |
| (315) 464-5223 |
| Full Name | Dr Bruce E Fredrickson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 550 Harrison St, Syracuse, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477558492 | NPI | - | NPPES |
| 00522514 | Medicaid | NY | |
| 122366 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 122366 (New York) | Primary |
| 207X00000X | Orthopaedic Surgery | 122366 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce E Fredrickson, MD 550 Harrison St, Ste 130, Syracuse, NY 13202-3064 Ph: (315) 464-4472 | Dr Bruce E Fredrickson, MD 550 Harrison St, Ste 130, Syracuse, NY 13202-3064 Ph: (315) 464-4472 |
David Anthony Distefano, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Jalal Sadrieh, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4900 Broad Rd, Ste North3e, Syracuse, NY 13215 Phone: 315-492-5864 Fax: 315-492-5285 | |
James Alan Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Frederick R. Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Justin Iorio, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 | |
Cassandra Riggs, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 | |
Dr. Brad Raphael, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 |