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

Plastic & Reconstructive Surgery of Cny PC

Organization Plastic Surgery Physician · NPI 1851465496

Plastic & Reconstructive Surgery of Cny PC is a Plastic Surgery Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 Irving Ave Ste 320
Syracuse, NY 13210-1756
Phone: (315) 425-7822
Fax: (315) 425-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 124408 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 145420 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 124408 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 145420 (NY)

Record details

NPI number1851465496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Bidwell — Billing Supervisor · (315) 752-0141
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 29, 2015
Mailing address6221 State Route 31, Suite 104, Cicero, NY 13039-8724

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