Organization
SYRACUSE PROSTHETIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA HARRINGTON (ADMINISTRATIVE MGR)
(315) 476-9697
Entity
Organization
Contact information
Practice address
3300 VICKERY RD STE 4, SYRACUSE, NY 13212-4511
(315) 476-9697
(315) 476-9694
Mailing address
3300 VICKERY RD STE 4, SYRACUSE, NY 13212-4511
(315) 476-9697
(315) 476-9694
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013905
PROSTHETIC PROVIDER
NY
05
—
02047336
—
NY
Enumeration date
06/01/2005
Last updated
07/29/2024
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