Organization
CHILD HEALTH CARE ASSOCIATES PRACTICE OF PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN O'MALLEY MD (MD/PARTNER)
(315) 463-2013
Entity
Organization
Contact information
Practice address
6700 KIRKVILLE RD., SUITE A., EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019
Mailing address
6700 KIRKVILLE RD., SUITE A., EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02053941
—
NY
Enumeration date
03/09/2007
Last updated
03/30/2021
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