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

Upstate Medical Professionals, PC

Organization Emergency Medicine Physician · NPI 1891382123

Upstate Medical Professionals, PC is an Emergency Medicine Physician in Syracuse, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1810 Erie Blvd E
Syracuse, NY 13210-1230
Phone: (315) 552-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1891382123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Cooney — Chief Medical Officer · (315) 552-1050
NPI enumeratedDecember 21, 2020
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address1810 Erie Blvd E, Syracuse, NY 13210-1230

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