Organization
CHILDRENSEYE CARE PHYSICIANS OF CNY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER WOODHULL MERRIAM M.D. (OWNER)
(315) 422-4321
Entity
Organization
Contact information
Practice address
1810 ERIE BLVD E, SYRACUSE, NY 13210-1230
(315) 422-4321
Mailing address
1810 ERIE BLVD E, SYRACUSE, NY 13210-1230
(315) 422-4321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00550032
—
NY
Enumeration date
12/04/2006
Last updated
08/22/2020
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