Organization
CHILD HEALTH ASSOCIATES OF MADISON CO. MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL HALEY LPN (OFFICE MANAGER)
(315) 363-4070
Entity
Organization
Contact information
Practice address
1145 GLENWOOD AVE, ONEIDA, NY 13421-7111
(315) 363-4070
(315) 363-8768
Mailing address
1145 GLENWOOD AVE, ONEIDA, NY 13421-7111
(315) 363-4070
(315) 363-8768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487883
—
NY
Enumeration date
08/23/2006
Last updated
08/22/2020
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