Organization
ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY
Active
Other names
St. Camillus Diagnostic & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ZINGARO (CFO)
(315) 703-0646
Entity
Organization
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
(315) 488-7734
Mailing address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
(315) 488-7734
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
3301208R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00871325
—
NY
Enumeration date
02/08/2007
Last updated
09/19/2016
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