Organization
UPSTATE UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDA KHAIRALLAH (PRIVATE PHYSICIAN)
(315) 464-5800
Entity
Organization
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5800
Mailing address
460 S MAIN ST APT 246, NORTH SYRACUSE, NY 13212-3050
(315) 450-3567
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
NOT YET LICENSED
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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