Organization
NYSARC INC. ONONDAGA COUNTY CHAPTER
Active
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
Update your record
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