Individual
CELESTE M MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 IRVING AVE, SUITE 210, SYRACUSE, NY 13210-1756
(315) 471-2646
Mailing address
322 FARMER ST, SYRACUSE, NY 13203-1303
(315) 471-0733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1419701
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
1419701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00598632
—
NY
Enumeration date
04/27/2006
Last updated
06/08/2012
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