Richard J Distefano is a Syracuse, New York based male orthopedic surgeon with 35 years of experience in Orthopaedic Surgery of the Spine. He completed his graduation from State University Of Ny Upstate Medical University in 1989. He is also affiliated with hospitals like St Joseph's Hospital Health Center and Oneida Healthcare Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Richard J Distefano is 187682 for Orthopaedic Surgery of the Spine in New York.
Richard J Distefano deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Richard J Distefano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Surgery of the Spine
Credentials:
MD
Experience:
35+ years
Medical School Attended:
State University Of Ny Upstate Medical University
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5719 Widewaters Pkwy, Syracuse, New York, 13214-1985
Phone:
315-251-3100
Fax:
315-449-9923
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4183538705
Enrollment ID:
I20051228000509
NPI Number:
1972608586
NPI Enumeration Date:
14 Sep, 2006
NPI Last Update On:
06 Apr, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard J Distefano are as mentioned below.
License Number
Specialization
State
Status
187682
Orthopaedic Surgery of the Spine
New York
Primary
187682
Orthopedic Surgery
New York
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Joseph's Hospital Health Center (330140)
Syracuse, NY
Acute Care Hospital
Oneida Healthcare Center (330115)
Oneida, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Richard J Distefano is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Syracuse Orthopedic Specialists, Pc (6406760073)
103
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard J Distefano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01556927
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5824 Widewaters Pkwy, East Syracuse, New York
Zip:
13057-3072
Phone Number:
315-251-3105
Fax Number:
315-552-6018
Patients can reach Richard J Distefano at 5719 Widewaters Pkwy, Syracuse, New York or can call to book an appointment on 315-251-3100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.