Dr. Bryant Paul Carruth, MD
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in North Syracuse, NY. Individual provider (NPI-1).
NPI number1760645790
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1760645790
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryant Paul Carruth
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2008
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 260147 | NY | Yes |
| 207W00000X | Ophthalmology | 260147 | NY |
Practice location
3400 Vickery RdSuite A
North Syracuse, NY 13212-4540
Phone 315-422-3937 · Fax 315-422-4432
Mailing address
3400 Vickery RdSuite A
North Syracuse, NY 13212-4540
Phone 315-422-3937 · Fax 315-422-4432
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