Provider Demographics
NPI:1013118603
Name:PALLIATIVE CARE PHYSICIANS OF CENTRAL NEW YORK
Entity Type:Organization
Organization Name:PALLIATIVE CARE PHYSICIANS OF CENTRAL NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SETLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-634-2214
Mailing Address - Street 1:67 KENDALL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-9701
Mailing Address - Country:US
Mailing Address - Phone:315-462-9482
Mailing Address - Fax:315-462-5438
Practice Address - Street 1:990 7TH NORTH ST
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-3148
Practice Address - Country:US
Practice Address - Phone:315-634-1100
Practice Address - Fax:315-634-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Not Answered207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty