Organization
MESA OF N.Y., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL M COYLE (CEO)
(315) 425-1004
Entity
Organization
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 479-7884
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 479-7884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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