Provider Demographics
NPI:1275854796
Name:HYDE, MONIKA (MD)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:HYDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1101 ERIE BLVD E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1148
Mailing Address - Country:US
Mailing Address - Phone:315-422-4412
Mailing Address - Fax:315-422-4690
Practice Address - Street 1:1101 ERIE BLVD E
Practice Address - Street 2:SUITE 100
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1148
Practice Address - Country:US
Practice Address - Phone:315-422-4412
Practice Address - Fax:315-422-4690
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2015-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY8573066207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology