PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC
NPI 1851465496
Plastic Surgery in Syracuse, NY

Active since November 17, 2006
475 IRVING AVE, SUITE 320, SYRACUSE, NY 13210(315) 425-7822(315) 425-7885 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Plastic & Reconstructive Surgery Of Cny Pc NPPES

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

PLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC (NPI 1851465496) is a healthcare organization registered as a plastic surgery in Syracuse, New York and active in the NPI registry since November 2006. The organization lists Kathy A Bidwell, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1851465496
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePLASTIC & RECONSTRUCTIVE SURGERY OF CNY PC
Location Address475 IRVING AVE, SUITE 320Syracuse, NY 13210-1756
Mailing Address6221 State Route 31, Suite 104Cicero, NY 13039-8724 · (315) 752-0141 · Fax (315) 752-0142
Fax(315) 425-7885
Organization SubpartNo
Authorized OfficialKathy A BidwellBilling Supervisor · (315) 752-0141
Enumeration DateNovember 17, 2006
Last NPPES UpdateJanuary 29, 2015
NPI 1851465496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in NY · 124408 Licensed in NY · 145420
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 124408 (NY), 145420 (NY)
475 IRVING AVE, Syracuse, NY 13210

Other Identifiers 4

Medicaid01019447NY
Medicare PIN50840ANY
Medicare UPIND02185NY
Medicare UPINB82965NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Ophthalmology
475 IRVING AVE, STE 420
SYRACUSE, NY 13210
Pediatrics
475 IRVING AVE, SUITE 210
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 204
SYRACUSE, NY 13210
Neurological Surgery
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Nurse Practitioner (Family)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210

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 Plastic & Reconstructive Surgery Of Cny PC's NPI number?

The NPI number for Plastic & Reconstructive Surgery Of Cny PC is 1851465496. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Plastic & Reconstructive Surgery Of Cny PC located?

Plastic & Reconstructive Surgery Of Cny PC is located at 475 Irving Ave Suite 320, Syracuse, NY 13210. The listed phone number is (315) 425-7822.

What is Plastic & Reconstructive Surgery Of Cny PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Plastic & Reconstructive Surgery Of Cny PC was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.