Organization
ANDREW J. RURKA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J RURKA M.D. (MEDICAL DIRECTOR)
(315) 475-6101
Entity
Organization
Contact information
Practice address
1200 E GENESEE ST, SUITE 310, SYRACUSE, NY 13210-1968
(315) 475-6101
(315) 475-1827
Mailing address
1200 E GENESEE ST, SUITE 310, SYRACUSE, NY 13210-1968
(315) 475-6101
(315) 475-1827
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547008
—
NY
Enumeration date
02/02/2007
Last updated
09/12/2007
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