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Organization
ST JOSEPH'S MEDICAL PC
Active
Organization
ST JOSEPH'S MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA M SULIK MD (PRESIDENT)
(315) 744-1865
Entity
Organization
Contact information
Practice address
104 UNION AVE, STE 1005, SYRACUSE, NY 13203-1843
(315) 424-0790
(315) 475-0916
Mailing address
5100 W TAFT RD, STE 1D, LIVERPOOL, NY 13088-3807
(315) 744-1865
(315) 744-1954
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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