Michael P Owen
Neurosurgeon
475 Irving Ave Suite 418
Syracuse
, New York 13210-1756
Michael P Owen
Neurosurgeon
475 Irving Ave Suite 418
Syracuse
, New York 13210-1756
(315) 470-4014
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Michael P Owen
- 475 Irving Ave Suite 418
- Syracuse, NY
- Zip : 13210-1756
- Fax : (315) 470-4014
- Phone : (315) 475-3999
Second Address
- Michael P Owen
- 475 Irving Ave Suite 418
- Syracuse, NY
- Zip : 13210-1756
- Fax : (315) 470-4014
- Phone : (315) 475-3999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 125796-1 | NY |
National Provider Identifier
| NPI | 1124042437 |
|---|---|
| Provider Name | Michael P Owen |
| First Address | Syracuse, NY 13210-1756 |
| Second Address | Syracuse, NY 13210-1756 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 26/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B79405 | (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.