# INTEGRATED MEDICINE OF SYRACUSE

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

## Provider details

- **NPI number:** 1073650248
- **Authorized official:** DAVID SUSSMAN D.O. (PRESIDENT)
- **Authorized official phone:** (315) 378-0071

## Contact information

- **Practice address:** 4583 NORTH ST, JAMESVILLE, NY 13078-9461
- **Practice address phone:** (315) 378-0071
- **Mailing address:** 4583 NORTH ST, JAMESVILLE, NY 13078-9461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/30/2007