Basic Information
| Provider Information | |||||||||
| NPI: | 1447510888 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NICOLAS UZCATEGUI EYE PHYSICIAN AND SURGEON PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 ERIE BLVD E | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132101148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235334452 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1101 ERIE BLVD E | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132101148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235334452 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2012 | ||||||||
| LastUpdateDate: | 05/19/2012 | ||||||||
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| AuthorizedOfficialLastName: | UZCATEGUI | ||||||||
| AuthorizedOfficialFirstName: | NICOLAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3235334452 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 250432-1 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.