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

Suny Upstate

Organization Clinic/Center · NPI 1053789610

Suny Upstate is a Clinic/Center in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

90 Presidential Plz
Syracuse, NY 13202-2240
Phone: (315) 464-3833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence F339820-1 (NY)

Record details

NPI number1053789610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viktoria Kenney — Fnp · (607) 759-7462
NPI enumeratedSeptember 11, 2015
Last updated in NPPESSeptember 11, 2015
Mailing address5104 Waterford Wood Way, Fayetteville, NY 13066-9799

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