Organization
COMMUNITY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA E JOHNSON (CORP. VP OF FINANCE/CFO)
(315) 492-5731
Entity
Organization
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5554
(315) 492-5071
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/07/2005
Last updated
08/22/2020
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