Organization
CENTRAL NEW YORK SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WARREN (EXECUTIVE DIRECTOR)
(315) 478-2453
Entity
Organization
Contact information
Practice address
518 JAMES ST, SUITE240, SYRACUSE, NY 13203-2238
(315) 478-2453
(315) 425-8917
Mailing address
518 JAMES ST, SUITE240, SYRACUSE, NY 13203-2238
(315) 478-2453
(315) 425-8917
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03113004
—
NY
Enumeration date
05/16/2017
Last updated
05/16/2017
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