Douglass Powell
Gynecologist
4820 W Taft Rd Suite 208
Liverpool
, New York 13088-2800
Douglass Powell
Gynecologist
4820 W Taft Rd Suite 208
Liverpool
, New York 13088-2800
(315) 423-9687
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Douglass Powell
- 792 N Main St Suite 100a
- North Syracuse, NY
- Zip : 13212-1644
- Fax : (315) 423-9687
- Phone : (315) 423-9722
Second Address
- Douglass Powell
- 4820 W Taft Rd Suite 208
- Liverpool, NY
- Zip : 13088-2800
- Fax : (315) 451-3162
- Phone : (315) 451-2261
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 140371 | NY |
National Provider Identifier
| NPI | 1164413944 |
|---|---|
| Provider Name | Douglass Powell |
| First Address | North Syracuse, NY 13212-1644 |
| Second Address | Liverpool, NY 13088-2800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 18/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B82615 | (02) | 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.