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Suny Upstate

NPI 1053789610ActiveOrganization· Clinic/Center· Syracuse, NY

Clinic/Center in Syracuse, New York, registered in NPPES in September 2015. The authorized official on file is Viktoria Kenney, FNP, Fnp.

Overview

NPI1053789610
StatusActive
Entity typeOrganization
NPI issuedSep 11, 2015
Last updated in NPPESSep 11, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000XF339820-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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