# IMMEDIATE MEDICAL CARE OF CNY, PC

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

## Provider details

- **NPI number:** 1982892006
- **Authorized official:** THOMAS V CHMELICEK MD (DIRECTOR)
- **Authorized official phone:** (315) 682-0909

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 05/06/2008