# PROCARE LTC OF SYRACUSE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326684069
- **Authorized official:** DR. BINCY VARGHESE PHARM D (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (631) 359-9711

## Contact information

- **Practice address:** 105 TWIN OAKS DR, SYRACUSE, NY 13206-1205
- **Practice address phone:** (315) 800-6400
- **Practice address fax:** (315) 800-6401
- **Mailing address:** 1 OLYMPIC PL STE 600, TOWSON, MD 21204-4110
- **Mailing address phone:** (888) 741-0367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 10/17/2024