Organization
CENTRAL NEW YORK SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WARREN (EXECUTIVE DIRECTOR)
(315) 478-2453
Entity
Organization
Contact information
Practice address
375 W ONONDAGA ST, SUITE 10, SYRACUSE, NY 13202-1888
(315) 478-2030
(315) 478-2250
Mailing address
518 JAMES ST, SUITE 240, SYRACUSE, NY 13203-2238
(315) 478-2453
(315) 425-8917
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8403300A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01437365
—
NY
Enumeration date
05/13/2013
Last updated
05/13/2013
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