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Organization
VIRTUAL CARE MEDICAL ASSOCIATE NY PC
Active
Organization
VIRTUAL CARE MEDICAL ASSOCIATE NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PAVLOVITZ (SOLE SHAREHOLDER)
(866) 219-8595
Entity
Organization
Contact information
Practice address
841 E FAYETTE ST, SYRACUSE, NY 13210-1521
(866) 219-8595
Mailing address
841 E FAYETTE ST, SYRACUSE, NY 13210-1521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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