Organization
LAWRENCE CECCHI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M KERR (ADMINISTRATOR)
(315) 425-7722
Entity
Organization
Contact information
Practice address
475 IRVING AVE, STE 420, SYRACUSE, NY 13210-1756
(315) 425-7722
(315) 475-1705
Mailing address
475 IRVING AVE, STE 420, SYRACUSE, NY 13210-1756
(315) 425-7722
(315) 475-1705
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
245149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2908987
—
NY
Enumeration date
09/26/2012
Last updated
09/26/2012
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