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Organization
US DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
US DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN DAVID GWYTHER LMSW (SOCIAL WORKER)
(315) 334-7100
Entity
Organization
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
8036 YAGER RD, BLOSSVALE, NY 13308-2926
(315) 334-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
064482
NY
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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