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Organization

DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR AT SYR IN

Active
Other names
Infectious Disease Associates
Organization subpart
No

Provider details

NPI number
Authorized official
SRIRAM NARSIPUR MD (PRESIDENT)
(315) 464-3834
Entity
Organization

Contact information

Practice address
725 IRVING AVE, SUITE 311, SYRACUSE, NY 13210-1603
(315) 464-5533
(315) 464-5579
Mailing address
725 IRVING AVE, SUITE 311, SYRACUSE, NY 13210-1603
(315) 464-5533
(315) 464-5579

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00459903
NY
Enumeration date
07/21/2006
Last updated
03/19/2020
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