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NPI Code Detail

MEDICARE: VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK, INC.

MEDICARE: VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency3301602NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265437982
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK, INC.
Provider Business Mailing Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2243
Country : US
Telephone Number : 888-477-4663
Fax Number :
Provider Business Practice Location Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2243
Country : US
Telephone Number : 888-477-4663
Fax Number :
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MS. MARY KATE ROLF
Credential :
Telephone Number : 315-477-9595
Provider Enumeration Date : 06/17/2005
Last Update Date : 05/12/2026

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