# REACH CNY, INC.

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

## Provider details

- **NPI number:** 1417794942
- **Authorized official:** DR. ELIZABETH G CROCKETT PHD, RD, CDN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (315) 424-0009

## Contact information

- **Practice address:** 1010 JAMES ST STE 1, SYRACUSE, NY 13203-2763
- **Practice address phone:** (315) 420-3087
- **Practice address fax:** (315) 424-0190
- **Mailing address:** 1010 JAMES ST STE 2, SYRACUSE, NY 13203-2706
- **Mailing address phone:** (315) 424-0009
- **Mailing address fax:** (315) 424-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/11/2024
