# SYRACUSE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Syracuse University Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447338819
- **Authorized official:** MR. BENJAMIN DOMINGO FNP (DIRECTOR)
- **Authorized official phone:** (315) 443-9001

## Contact information

- **Practice address:** 150 SIMS DR, SYRACUSE, NY 13244-2320
- **Practice address phone:** (315) 443-5698
- **Practice address fax:** (315) 443-9010
- **Mailing address:** 150 SIMS DR, SYRACUSE, NY 13244-2320
- **Mailing address phone:** (315) 443-5698
- **Mailing address fax:** (315) 443-9010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 07/18/2019