Organization
NORTH MEDICAL CARDIOVASCULAR GROUP PC
Active
Other names
Cardiovascular Group of Syracuse
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SASSANO (COO)
(315) 752-0141
Entity
Organization
Contact information
Practice address
4507 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6604
(315) 663-0500
(315) 663-0514
Mailing address
6221 STATE ROUTE 31, SUITE 104, CICERO, NY 13039-8715
(315) 752-0141
(315) 752-0142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02130289
—
NY
Enumeration date
05/16/2006
Last updated
08/25/2015
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