Provider Demographics
NPI:1649330234
Name:SYNA INC
Entity type:Organization
Organization Name:SYNA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-568-8911
Mailing Address - Street 1:427 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1616
Mailing Address - Country:US
Mailing Address - Phone:413-568-8911
Mailing Address - Fax:413-572-0680
Practice Address - Street 1:427 N ELM ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1616
Practice Address - Country:US
Practice Address - Phone:413-568-8911
Practice Address - Fax:413-572-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0441635Medicaid