# EAST SYRACUSE MINOA CSD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033499009
- **Authorized official:** MS. SHEILA TUFANKJIAN (EXECUTIVE DIRECTOR OF SCHOOL BUSINE)
- **Authorized official phone:** (315) 434-3002

## Contact information

- **Practice address:** 407 FREMONT RD, EAST SYRACUSE, NY 13057-2696
- **Practice address phone:** (315) 434-3050
- **Mailing address:** 407 FREMONT RD, EAST SYRACUSE, NY 13057-2696
- **Mailing address phone:** (315) 434-3002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | 4194 | NY | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 08/23/2011