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Organization
UNIVERSITY PEDIATRICS
Active
Organization
UNIVERSITY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S STARR MD (PRESIDENT)
(315) 471-4196
Entity
Organization
Contact information
Practice address
1200 E GENESEE ST, STE 209, SYRACUSE, NY 13210-1968
(315) 471-4196
(315) 471-0845
Mailing address
1200 E GENESEE ST, STE 209, SYRACUSE, NY 13210-1968
(315) 471-4196
(315) 471-0845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817454
—
NY
Enumeration date
08/19/2006
Last updated
08/22/2020
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