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Organization
INTERNIST ASSOCIATES OF CENTRAL NEW YORK PC
Active
Organization
INTERNIST ASSOCIATES OF CENTRAL NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M OONK (HR MANAGER)
(315) 479-5070
Entity
Organization
Contact information
Practice address
739 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1640
(315) 479-5070
(315) 701-2520
Mailing address
739 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1640
(315) 479-5070
(315) 701-2520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657330
—
NY
Enumeration date
03/16/2006
Last updated
05/13/2010
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