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SUNY UPSTATE
NPI 1053789610
Clinic/Center in Syracuse, NY

Active since September 11, 2015
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202(315) 464-3833 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suny Upstate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNY UPSTATE (NPI 1053789610) is a healthcare organization registered as a clinic/center in Syracuse, New York and active in the NPI registry since September 2015. The organization lists Viktoria Kenney, Fnp, as its authorized official.

NPPES Registry Identity

NPI1053789610
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUNY UPSTATE
Location Address90 PRESIDENTIAL PLZSyracuse, NY 13202-2240
Mailing Address5104 Waterford Wood WayFayetteville, NY 13066-9799 · (607) 759-7462
Phone(315) 464-3833
Organization SubpartNo
Authorized OfficialViktoria KenneyFnp · (607) 759-7462
Enumeration DateSeptember 11, 2015
✔ NPI 1053789610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · F339820-1
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
90 PRESIDENTIAL PLZ, Syracuse, NY 13202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE M AGEN NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 3RD FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-5210
GRETA JASINSKI
Physician Assistant
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4470
FRANCES I SWIECKI NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
JULIANN MELLEN
Dietitian, Registered
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-3716
ROBERT R. MICHIEL MD
Internal Medicine (Cardiovascular Disease)
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
DEBORAH Y BRADSHAW M.D.
Psychiatry & Neurology (Neurology)
90 PRESIDENTIAL PLZ, 4TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
AYDAN KAHRIMAN
Student in an Organized Health Care Education/Training Program
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
MERIBETH A OGRINC MD
Internal Medicine (Rheumatology)
90 PRESIDENTIAL PLZ, RHEUMATOLOGY, FIRM C
SYRACUSE, NY 13202
Onondaga County (315) 464-3836

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suny Upstate's NPI number?

The NPI number for Suny Upstate is 1053789610. It was assigned to this organization in the NPPES registry on September 11, 2015.

Where is Suny Upstate located?

Suny Upstate is located at 90 Presidential Plz, Syracuse, NY 13202. The listed phone number is (315) 464-3833.

What is Suny Upstate's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Suny Upstate was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.