Organization
IMMEDIATE MEDICAL CARE OF CNY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V CHMELICEK MD (DIRECTOR)
(315) 682-0909
Entity
Organization
Contact information
Practice address
8240 CAZENOVIA RD, STE 60, MANLIUS, NY 13104-8813
(315) 682-0909
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
240147
NY
Other
Enumeration date
10/15/2007
Last updated
05/06/2008
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