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Organization
UPSTATE MEDICAL UNIVERSITY
Active
Organization
UPSTATE MEDICAL UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DECKER PT, DPT (PHYSICAL THERAPIST)
(607) 727-4048
Entity
Organization
Contact information
Practice address
750 E ADAMS ST, SUITE 2104, SYRACUSE, NY 13210-2342
(315) 464-2300
Mailing address
750 E ADAMS ST, SUITE 2104, SYRACUSE, NY 13210-2342
(315) 464-2300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
032877-1
NY
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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