David Wilson Wormuth
Cardiothoracic Vascular Surgeon
5008 Brittonfield Pkwy Ste 700
East Syracuse
, New York 13057-9249
David Wilson Wormuth
Cardiothoracic Vascular Surgeon
5008 Brittonfield Pkwy Ste 700
East Syracuse
, New York 13057-9249
(315) 634-5170
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- David Wilson Wormuth
- 5008 Brittonfield Pkwy Ste 700
- East Syracuse, NY
- Zip : 13057-9249
- Fax : (315) 634-5170
- Phone : (315) 234-7860
Second Address
- David Wilson Wormuth
- 5008 Brittonfield Pkwy Ste 700
- East Syracuse, NY
- Zip : 13057-9249
- Fax : (315) 634-5170
- Phone : (315) 234-7860
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 218591 | NY |
National Provider Identifier
| NPI | 1053371344 |
|---|---|
| Provider Name | David Wilson Wormuth |
| First Address | East Syracuse, NY 13057-9249 |
| Second Address | East Syracuse, NY 13057-9249 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 21/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02091129 | (05) | NY |
| H27241 | (02) | NY |
| P00446825 | RAILROAD MEDICARE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.