OrganizationActive
Suny Upstate
NPI 1053789610 · Clinic/Center · Syracuse, NY
Suny Upstate is a Clinic/Center organization in Syracuse, NY (NPI 1053789610).
Provider details
- NPI number
- 1053789610
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Viktoria Kenney, Fnp(607) 759-7462
- License
- F339820-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Presidential Plz
Syracuse, NY 13202-2240
Phone: (315) 464-3833
Street-level locationGet directions
Mailing address
5104 Waterford Wood Way
Fayetteville, NY 13066-9799
Registry dates
- Enumerated
- 2015-09-11
- Last updated
- 2015-09-11
Frequently asked questions
- What is Suny Upstate's NPI number?
- Suny Upstate's National Provider Identifier (NPI) is 1053789610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Suny Upstate?
- Suny Upstate is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Suny Upstate located?
- Suny Upstate's practice location on file with NPPES is 90 Presidential Plz, Syracuse, NY 13202-2240.
- What is Suny Upstate's phone number?
- The practice phone number listed in the NPPES registry for Suny Upstate is (315) 464-3833.
- Who is the authorized official for Suny Upstate?
- The authorized official listed on Suny Upstate's NPPES record is Viktoria Kenney, Fnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Suny Upstate's NPI active?
- Yes — Suny Upstate's NPI (1053789610) is active in the NPPES registry as of the last update on 2015-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.