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Organization

SUNY UPSTATE MEDICAL UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VATINEE THASSANAPAFF MD (RESIDENT)
(315) 299-8352
Entity
Organization

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5800
Mailing address
60 PRESIDENTIAL PLZ, APT#717, SYRACUSE, NY 13202-2292
(315) 299-8352

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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