Organization
COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE
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) 492-5107
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5554
(315) 492-5107
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474427
—
NY
Enumeration date
09/07/2005
Last updated
06/05/2008
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