Basic Information
| Provider Information | |||||||||
| NPI: | 1891930897 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCIANNA | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 750 EAST ADAMS STREET | ||||||||
| Address2: | SUNY UPSTATE MEDICAL UNIVERSITY | ||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132102375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154644363 | ||||||||
| FaxNumber: | 3154644854 | ||||||||
| Practice Location | |||||||||
| Address1: | 750 EAST ADAMS STREET | ||||||||
| Address2: | SUNY UPSTATE MEDICAL UNIVERSITY | ||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132102375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154644363 | ||||||||
| FaxNumber: | 3154644854 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2008 | ||||||||
| LastUpdateDate: | 12/22/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 252894-1 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.