Provider Demographics
NPI:1881643823
Name:CNY FAMILY CARE, LLP
Entity Type:Organization
Organization Name:CNY FAMILY CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF CODING AND COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RHIT, CPC
Authorized Official - Phone:315-748-7870
Mailing Address - Street 1:4939 BRITTONFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9208
Mailing Address - Country:US
Mailing Address - Phone:315-463-1600
Mailing Address - Fax:315-634-6789
Practice Address - Street 1:4939 BRITTONFIELD PKWY
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9208
Practice Address - Country:US
Practice Address - Phone:315-463-1600
Practice Address - Fax:315-634-6793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty