Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN VAN BUREN RIDDELL, MD
ActiveJONATHAN VAN BUREN RIDDELL, MD is a Pediatric Urology healthcare provider located in SYRACUSE, New York. NPI 1922391077 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · SYRACUSE, NY
Registration Details
- NPI Number
- 1922391077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2011 (15.042551804168 yrs)
- Last Updated
- Jul 19, 2013
- Licenses
-
270264 (NY)270264 (NY)
Practice Information
- Address
-
750 E ADAMS STSYRACUSE, NY, 132102342Browse NY providers · Browse ZIP 13210
- Phone
- 3154646106
- Fax
- 3154646107
- Primary Specialty
-
Pediatric Urology
2088P0231X
- Additional Specialty
- Pediatric Urology
Other Pediatric Urology Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| UMESCHANDRA B PATIL | M.D. | 1851510697 |
| MATTHEW D MASON | MD | 1821264946 |
| ANTHONY JOSEPH TRACEY | MD | 1538486295 |
| JEFFREY VILLANUEVA | MD | 1962745133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.