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General NPI Number Information
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NPI Number | 1841313301
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Entity Type | Organization
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Legal Business Name | MASSENA MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | MASSENA
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State | NY
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Zip | 13662-1056
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Country | US
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Telephone | 315-764-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR
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City | MASSENA
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State | NY
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Zip | 13662-1056
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Country | US
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Telephone | 315-764-1711
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Fax |
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Authorized Official
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Title or Position | ER DIRECTOR
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Name | ERIK ST. PIERRE
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Credential | M.D.
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Telephone | 315-764-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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