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NPI Code Detail

MEDICARE: NASCENTIA COMMUNITY CARE

MEDICARE: NASCENTIA COMMUNITY CARE
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 Agency3301606NY
2261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23301330ROTHERNYOPERATING CERTIFICATE

General Provider Information

NPI Number : 1700870011
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASCENTIA COMMUNITY CARE
Provider Business Mailing Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2243
Country : US
Telephone Number : 315-641-2385
Fax Number : 315-305-4677
Provider Business Practice Location Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2243
Country : US
Telephone Number : 315-641-2385
Fax Number : 315-305-4677
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. MARY KATE ROLF
Credential :
Telephone Number : 315-477-9595
Provider Enumeration Date : 09/01/2005
Last Update Date : 05/12/2026

Similar Medicare Providers

1770893034 — SHANNON LYNN AUBREY PA
Practice Location Address:
1050 W GENESEE ST
SYRACUSE, NY
13204-2243
Practice Phone: 315-641-2385
Practice Fax: 315-305-4677
1265437982 — VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK, INC.
Practice Location Address:
1050 W GENESEE ST
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Practice Phone: 888-477-4663
Practice Fax:
1285989681 — MRS. GRACIA LYNNETTE ROULAN MSN, FNP
Practice Location Address:
1050 W GENESEE ST
SYRACUSE, NY
13204-2243
Practice Phone: 315-641-2385
Practice Fax: 315-305-4677
1154670149 — DAWN L PAULSEN F.N.P.
Practice Location Address:
1050 W GENESEE ST
SYRACUSE, NY
13204-2243
Practice Phone: 315-641-2385
Practice Fax: 315-305-4677
1689452013 — AMANDA LEIGH NICHOLAS FNP-C
Practice Location Address:
1050 W GENESEE ST
SYRACUSE, NY
13204-2243
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Practice Fax: 315-305-4677
1861543654 — SPEEDY MEDICAL TRANSPORT
Practice Location Address:
2712 JAMES ST
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13206-2243
Practice Phone: 315-463-7504
Practice Fax: 315-463-7498

Directions to “NASCENTIA COMMUNITY CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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