Organization
ST. LAWRENCE NYSARC
Active
Parent organization
NYSARC INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYSARC INC.
Authorized official
MS. DAPHNE A PICKERT (EXECUTIVE DIRECTOR)
(315) 379-9531
Entity
Organization
Contact information
Practice address
6 COMMERCE LN, CANTON, NY 13617-3738
(315) 379-9531
(315) 379-0834
Mailing address
6 COMMERCE LN, CANTON, NY 13617-3738
(315) 379-9531
(315) 379-0834
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
13327LA
NY
347B00000X
Bus
Primary
13328LA
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449081
—
NY
Enumeration date
01/27/2009
Last updated
01/27/2009
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