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Organization
ST. JOSEPH'S MEDICAL PC
Active
Organization
ST. JOSEPH'S MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA M. SULIK M.D. (PRESIDENT)
(315) 744-1865
Entity
Organization
Contact information
Practice address
104 UNION AVE, STE 1001-1002, SYRACUSE, NY 13203-1843
(315) 423-7192
(315) 423-8013
Mailing address
5100 W TAFT RD, STE 1D, LIVERPOOL, NY 13088-3807
(315) 744-1865
(315) 744-1954
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03370858
—
NY
Enumeration date
02/23/2016
Last updated
02/23/2016
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