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Organization
JCR MEDICINE CANAL STREET PLLC
Active
Organization
JCR MEDICINE CANAL STREET PLLC
Active
Other names
IMA
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C RADFORD MD (OWNER)
(716) 699-9032
Entity
Organization
Contact information
Practice address
961 CANAL ST, SYRACUSE, NY 13210-1203
(315) 478-1977
(315) 428-9233
Mailing address
PO BOX 248, ELLICOTTVILLE, NY 14731-0248
(315) 478-1977
(315) 428-9223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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