Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York Anesthesiology Medical Specialties, PC

Organization Pain Medicine Physician · NPI 1023497203

New York Anesthesiology Medical Specialties, PC is a Pain Medicine Physician in Camillus, New York. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5417 W Genesee St Ste 1
Camillus, NY 13031
Phone: (315) 432-4900
Fax: (315) 488-2397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1023497203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tiso — Md · (315) 552-6700
Other names New York Spine And Wellness Center
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015
Mailing addressPo Box 510, Syracuse, NY 13214-0510