Organization
CNYPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE FARAGO MD (CLINICAL DIRECTOR)
(315) 765-3624
Entity
Organization
Contact information
Practice address
9005 OLD RIVER RD, MARCY, MARCY, NY 13403-3000
(315) 765-3624
(315) 765-3629
Mailing address
9005 OLD RIVER RD, MARCY, MARCY, NY 13403-3000
(315) 765-3624
(315) 765-3629
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
P90017
NY
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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