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NPI Code Detail

MEDICARE: ACCESSCNY, INC

MEDICARE: ACCESSCNY, 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
1103T00000XPsychologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist
4235Z00000XSpeech-Language Pathologist
51041C0700XClinical Social Worker
6251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1750381968
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESSCNY, INC
Provider Business Mailing Address
First Line : PO BOX 2002
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4502
Country : US
Telephone Number : 315-449-2208
Fax Number : 315-362-5120
Provider Business Practice Location Address
First Line : 1603 COURT ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13208-1834
Country : US
Telephone Number : 315-445-7591
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. PRUDENCE YORK
Credential :
Telephone Number : 315-455-7591
Provider Enumeration Date : 07/29/2005
Last Update Date : 05/01/2015

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