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

Plastic & Reconstructive Surgery of Cny PC

Organization Plastic Surgery Physician · NPI 1851465496

Plastic & Reconstructive Surgery of Cny PC provides Plastic Surgery Physician services in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
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

475 Irving Ave Ste 320
Syracuse, NY 13210-1756 Not confirmed with CMS for 11 years — call before visiting
Phone: (315) 425-7822
Fax: (315) 425-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 124408 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 145420 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 124408 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 145420 (NY)

Record details

NPI number1851465496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Bidwell — Billing Supervisor · (315) 752-0141
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 29, 2015
Mailing address6221 State Route 31, Suite 104, Cicero, NY 13039-8724

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