Organization
NY URGENT CARE PRACTICE, PC
Active
Other names
Five Star Urgent Care Fairmount
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C RADFORD M.D. (PRESIDENT/OWNER)
(716) 699-9032
Entity
Organization
Contact information
Practice address
3504 W GENESEE ST, STE 1B, SYRACUSE, NY 13219-2008
(315) 401-0754
(315) 401-0755
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500
(716) 699-9032
(716) 699-9035
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
04/12/2017
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