Organization
UPSTATE MEDICAL UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCCABE M.D. (CEO)
(315) 464-2305
Entity
Organization
Contact information
Practice address
750 E ADAMS ST STE 2104, SYRACUSE, NY 13210-2342
(315) 464-2300
(315) 464-2305
Mailing address
750 E ADAMS ST STE 2104, SYRACUSE, NY 13210-2342
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
016272
NY
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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