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Organization

CANTON-POTSDAM HOSPITAL

Active
Parent organization
CANTON-POTSDAM HOSPITAL
Other names
CPH Anesthesiology Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
CANTON-POTSDAM HOSPITAL
Authorized official
MR. RICHARD D JACOBS (CFO)
(315) 261-5100
Entity
Organization

Contact information

Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 261-5501
(315) 261-6404
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 362-5120

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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