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Organization
ST JOSEPH'S HOSPITAL HEALTH CENTER
Active
Organization
ST JOSEPH'S HOSPITAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN H RUSCITTO (PRESIDENT)
(315) 448-5880
Entity
Organization
Contact information
Practice address
301 PROSPECT AVE, EMPLOYED PHYSICIAN GROUP, SYRACUSE, NY 13203-1807
(315) 448-5880
(315) 448-6161
Mailing address
301 PROSPECT AVE, ADMINISTRATION, SYRACUSE, NY 13203-1807
(315) 448-5880
(315) 448-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02860653
—
NY
Enumeration date
01/02/2007
Last updated
03/11/2013
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