Organization
NYSARC INC. ONONDAGA COUNTY CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANFORT J. PERRY (EXECUITIVE DIRECTOR)
(315) 476-7441
Entity
Organization
Contact information
Practice address
600 S WILBUR AVE, SYRACUSE, NY 13204-2730
(315) 476-7441
(315) 424-6001
Mailing address
600 S WILBUR AVE, SYRACUSE, NY 13204-2730
(315) 476-7441
(315) 424-6001
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560238
—
NY
05
—
01162096
—
NY
05
—
01474799
—
NY
Enumeration date
11/01/2006
Last updated
08/22/2007
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