Organization
CENTRAL NEW YORK SERVICES.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J WARREN M.S.ED. (EXECUTIVE DIRECTOR)
(315) 478-2453
Entity
Organization
Contact information
Practice address
375 W ONONDAGA ST, SUITE 23, SYRACUSE, NY 13202-3280
(315) 478-0610
(315) 478-2510
Mailing address
518 JAMES ST, SUITE 240, SYRACUSE, NY 13203-2238
(315) 478-2453
(315) 425-8917
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
071111291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01437365
—
NY
Enumeration date
07/06/2006
Last updated
09/12/2008
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