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Organization

IMMEDIATE MEDICAL CARE OF CNY, PC

Active
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Organization

IMMEDIATE MEDICAL CARE OF CNY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS V CHMELICEK MD (DIRECTOR)
(315) 682-0909
Entity
Organization

Contact information

Practice address
8240 CAZENOVIA RD, STE 60, MANLIUS, NY 13104-8813
(315) 682-0909
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
240147
NY

Other

Enumeration date
10/15/2007
Last updated
05/06/2008
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