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Organization
TOWN OF MASSENA
Active
Organization
TOWN OF MASSENA
Active
Other names
Massena Memorial Hospital Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES F FAHD II (CEO)
(315) 769-4233
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4347
(315) 769-4780
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4347
(315) 769-4780
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4402000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354398
—
NY
Enumeration date
01/09/2012
Last updated
01/09/2012
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