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Organization

MEDICAL PAIN MANAGEMENT OF CNY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M KOWALCZYK M.D. (PRESIDENT)
(315) 471-5888
Entity
Organization

Contact information

Practice address
910 ERIE BLVD E, SYRACUSE, NY 13210-1060
(315) 423-4315
(315) 471-6336
Mailing address
1001 JAMES ST STE 1, SYRACUSE, NY 13203-2707
(315) 471-5888
(315) 471-6336

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
206367
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01830175
NY
Enumeration date
11/09/2007
Last updated
11/09/2007
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