Organization
INTERNIST ASSOCIATES OF CENTRAL NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M OONK (HR MANAGER)
(315) 479-5070
Entity
Organization
Contact information
Practice address
739 IRVING AVE STE 200, SYRACUSE, NY 13210-1668
(315) 479-5070
(315) 701-2520
Mailing address
739 IRVING AVE STE 200, SYRACUSE, NY 13210-1668
(315) 479-5070
(315) 701-2520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041610001
DMEPOS
—
Enumeration date
12/28/2006
Last updated
05/13/2010
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