Organization
CHILD HEALTH CARE ASSOCIATES PRACTICE OF PEDIATRICS
Active
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
Update your record
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