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NPI Code Detail

MEDICARE: NYSARC- ARC OF ONONDAGA

MEDICARE: NYSARC- ARC OF ONONDAGA
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1598996571
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYSARC- ARC OF ONONDAGA
Provider Business Mailing Address
First Line : 600 S WILBUR AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2730
Country : US
Telephone Number : 315-476-7441
Fax Number : 315-424-6001
Provider Business Practice Location Address
First Line : 600 S WILBUR AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2730
Country : US
Telephone Number : 315-476-7441
Fax Number : 315-424-6001
Authorized Official
Title or Position : DIRECTOR OF PARKSIDE
Name : LAUREN MEROLA
Credential :
Telephone Number : 315-476-7411
Provider Enumeration Date : 08/07/2009
Last Update Date : 11/08/2017

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Directions to “NYSARC- ARC OF ONONDAGA ” Practice Location

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