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Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Other names
Upstate University Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART M WRIGHT (CHIEF FINANCIAL OFFICER)
(315) 464-6530
Entity
Organization
Contact information
Practice address
750 EAST ADAMS STREET, SYRACUSE, NY 13210-2306
(315) 464-6530
(315) 464-8333
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6530
(315) 464-8333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
3301007H
NY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354590
—
NY
01
—
1578554630
NPI FOR ACUTE HOSPITAL
NY
01
—
330241
MEDICARE PROVIDER NUMBER
NY
Enumeration date
09/13/2012
Last updated
09/16/2026
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