Organization
UPSTATE MEDICAL PROFESSIONALS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK ROBERT COONEY MD (CHIEF MEDICAL OFFICER)
(315) 552-1050
Entity
Organization
Contact information
Practice address
1810 ERIE BLVD E, SYRACUSE, NY 13210-1230
(315) 552-1050
Mailing address
1810 ERIE BLVD E, SYRACUSE, NY 13210-1230
(315) 552-1050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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