JCR MEDICINE CANAL STREET PLLC

SYRACUSE, NY
NPI1225402779
Other NameIMA
Entity TypeOrganization
Authorized ContactJOHN C RADFORD
Owner
716-699-9032
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
JCR MEDICINE CANAL STREET PLLC
961 CANAL ST
SYRACUSE, NY 13210-1203
Phone number: 315-478-1977
Mailing Address
JCR MEDICINE CANAL STREET PLLC
PO BOX 248
ELLICOTTVILLE, NY 14731-0248
Phone number: 315-478-1977
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