Organization
INTERNIST ASSOCIATES OF CENTRAL NEW YORK, PC
Active
Other names
Internist Associates of Central New York Clinical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M OONK (HR MANAGER)
(315) 479-5070
Entity
Organization
Contact information
Practice address
739 IRVING AVE, SUITE 350, SYRACUSE, NY 13210-1640
(315) 479-5070
(315) 701-2520
Mailing address
739 IRVING AVE, SUITE 350, SYRACUSE, NY 13210-1640
(315) 479-5070
(315) 701-2520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33DO166447
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01153415
—
NY
Enumeration date
03/14/2006
Last updated
05/13/2010
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