Provider Demographics
NPI:1871987461
Name:ONEIDA MEDICAL SERVICES, PLLC
Entity type:Organization
Organization Name:ONEIDA MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OFRONA
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-361-2040
Mailing Address - Street 1:139 FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2642
Mailing Address - Country:US
Mailing Address - Phone:315-363-9380
Mailing Address - Fax:315-363-9382
Practice Address - Street 1:301 GENESEE ST STE D
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2644
Practice Address - Country:US
Practice Address - Phone:315-363-9380
Practice Address - Fax:315-363-9382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty