# CONNECTIONS

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

## Provider details

- **NPI number:** 1588083216
- **Authorized official:** MS. MARY BETH WITTE COTA (CERTIFIED OCCUPATIONAL THERAPY ASST)
- **Authorized official phone:** (315) 935-5780

## Contact information

- **Practice address:** 1744 W GENESEE ST, SYRACUSE, NY 13204-1902
- **Practice address phone:** (315) 468-3414
- **Mailing address:** 1744 W GENESEE ST, SYRACUSE, NY 13204-1902
- **Mailing address phone:** (315) 468-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 002309 | NY | Yes |

## Other

- **Enumeration date:** 04/09/2014
- **Last updated:** 04/09/2014