Upstate Community Medical, Pc

NPI 1689620163 - Surgery - 208600000X

NPI Details
NPI 1689620163
Enumeration Date 05/26/2006
Last Updated 02/23/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BONNIE D BONNIE
Position PRESIDENT
Phone (315) 492-5305
Fax (315) 492-5320
Practice Location
4900 BROAD RD
SYRACUSE NY, 13215-2265, US
Phone (315) 492-5305
Fax (315) 492-5320
Business Location
1001 W FAYETTE ST
SUITE 400
SYRACUSE NY, 13204-2859, US
Phone (315) 472-1488
Fax (315) 883-5407
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Upstate Community Medical, Pc NPI is 1689620163, taxonomy code is 208600000X Upstate Community Medical, Pc physically located at 4900 Broad Rd, Syracuse NY, 13215-2265. NPI Number 1033115704 has the healthcare provider type.

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1689620163 NPI number is provided on an as is basis without warranty of any kind. 1689620163 is maintained by the National Plan & Provider Enumeration System. The contents of Upstate Community Medical, Pc are for informational purposes only.