| Syracuse Otolaryngology Pllc | |
|
101 Richmond Ave Ste 320 Syracuse NY 13204-2298 | |
| (315) 254-2030 | |
| (315) 254-2031 |
| Full Name | Syracuse Otolaryngology Pllc |
|---|---|
| Speciality | Otolaryngology |
| Location | 101 Richmond Ave Ste 320, Syracuse, New York |
| Authorized Official Name and Position | Parul Goyal (MEMBER) |
| Authorized Official Contact | 3152542030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Otolaryngology Pllc 101 Richmond Ave Ste 320 Syracuse NY 13204 Ph: (315) 254-2030 | Syracuse Otolaryngology Pllc 101 Richmond Ave Ste 320 Syracuse NY 13204-2298 Ph: (315) 254-2030 |
| NPI Number | 1467876490 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 0749403863 |
|---|---|
| Medicare Enrollment ID | O20140519000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467876490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Parul Goyal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598791543 PECOS PAC ID: 5496781833 Enrollment ID: I20071106000029 |
| Provider Name | John Walter Ingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508905548 PECOS PAC ID: 8426236654 Enrollment ID: I20131018000510 |
| Provider Name | Lindsey Koester Goyal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851753859 PECOS PAC ID: 7517359557 Enrollment ID: I20220802000701 |
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