Organization
WEST ONONDAGA PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY RICHARD BLACK MD (PRESIDENT)
(315) 475-5176
Entity
Organization
Contact information
Practice address
659 WEST ONONDAGA ST, SYRACUSE, NY 13204
(315) 475-5176
(315) 476-0263
Mailing address
659 WEST ONONDAGA ST, SYRACUSE, NY 13204
(315) 475-5176
(315) 476-0263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
119574
NY
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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