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Organization
MADISON IRVING PEDIATRICS, PC
Active
Organization
MADISON IRVING PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESSA TOOLE (PRACTICE MANAGER)
(315) 898-2643
Entity
Organization
Contact information
Practice address
6711 TOWPATH RD STE 235, EAST SYRACUSE, NY 13057-9509
(315) 471-2646
(315) 471-1762
Mailing address
6711 TOWPATH RD STE 235, EAST SYRACUSE, NY 13057-9509
(315) 471-2646
(315) 471-1762
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
06/11/2024
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