Organization
LORETTO UTICA CTR ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SYNAKOWSKI NHA (EXECUTIVE)
(315) 732-0100
Entity
Organization
Contact information
Practice address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Mailing address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
3202313N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640913
—
NY
Enumeration date
09/19/2007
Last updated
09/19/2007
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