Organization
ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C LONG (COMMISSIONER)
(315) 435-3355
Entity
Organization
Contact information
Practice address
20 STATE ST, TULLY, NY 13159-3254
(315) 435-7706
(315) 435-7715
Mailing address
421 MONTGOMERY ST, SYRACUSE, NY 13202-2923
(315) 435-3355
(315) 435-3279
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00565031
—
NY
01
—
335184
MEDICARE
NY
Enumeration date
07/11/2013
Last updated
07/11/2013
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