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Organization

UNIVERSITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA M SCULLION FNP-C (NURSE PRACTITIONER)
(315) 303-4842
Entity
Organization

Contact information

Practice address
6 EDGEWOOD DR, BALDWINSVILLE, NY 13027-1231
(315) 415-5164
Mailing address
6 EDGEWOOD DR, BALDWINSVILLE, NY 13027-1231
(315) 415-5164

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F335656-1
NY

Other

Enumeration date
04/28/2009
Last updated
04/28/2009
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