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1053789610
SUNY UPSTATE
SYRACUSE, NY
NPI
1053789610
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Entity Type
Organization
Authorized Contact
VIKTORIA KENNEY
Fnp
607-759-7462
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NY F339820-1)
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
SUNY UPSTATE
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202-2240
Phone number: 315-464-3833
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Mailing Address
SUNY UPSTATE
5104 WATERFORD WOOD WAY
FAYETTEVILLE, NY 13066-9799
Phone number: 607-759-7462
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