Healthcare Provider Details

I. General information

NPI: 1093857369
Provider Name (Legal Business Name): ONONDAGA COUNTY COMPTROLLERS OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 MONTGOMERY ST CIVIC CENTER 9TH FLOOR
SYRACUSE NY
13202-2923
US

IV. Provider business mailing address

421 MONTGOMERY ST CIVIC CENTER 9TH FLOOR
SYRACUSE NY
13202-2923
US

V. Phone/Fax

Practice location:
  • Phone: 315-435-3661
  • Fax: 315-435-5720
Mailing address:
  • Phone: 315-435-3661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTI SMILEY
Title or Position: ADMINISTRATIVE OFFICER
Credential:
Phone: 315-435-3661