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General NPI Number Information
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NPI Number | 1750381968
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Entity Type | Organization
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Legal Business Name | ACCESSCNY, INC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 1603 COURT ST
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City | SYRACUSE
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State | NY
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Zip | 13208-1834
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Country | US
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Telephone | 315-445-7591
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2002
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-4502
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Country | US
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Telephone | 315-449-2208
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Fax | 315-362-5120
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Authorized Official
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Title or Position | CEO
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Name | MS. PRUDENCE YORK
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Credential |
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Telephone | 315-455-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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