Provider Demographics
NPI:1003524349
Name:UPDESIGN PRIMARY CARE, LLC
Entity Type:Organization
Organization Name:UPDESIGN PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TINGYIN
Authorized Official - Middle Name:TINA
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-256-0490
Mailing Address - Street 1:812 STATE FAIR BLVD STE 2A
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13209-1312
Mailing Address - Country:US
Mailing Address - Phone:315-256-0490
Mailing Address - Fax:
Practice Address - Street 1:812 STATE FAIR BLVD STE 2A
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13209-1312
Practice Address - Country:US
Practice Address - Phone:315-256-0490
Practice Address - Fax:315-887-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty