Organization
CENTRAL NY PSYCHIATRIC CENTER
Active
Other names
CENTRAL NEW YORK PSYCHIATRIC CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE CIRILLO (DIRECTOR OF PHARMACY)
(315) 765-3781
Entity
Organization
Contact information
Practice address
9005 OLD RIVER RD, MARCY, NY 13403-3000
(315) 765-3780
(315) 765-3789
Mailing address
9005 OLD RIVER RD, PO BOX 300, MARCY, NY 13403-3000
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
016008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2060203
PK
—
Enumeration date
10/10/2014
Last updated
10/10/2014
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