| Baby B.a.c.k. Inc. | |
|
107 Cornell Ave Syracuse NY 13207-2108 | |
| (315) 424-6080 | |
| (315) 424-6080 |
| Full Name | Baby B.a.c.k. Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Cornell Ave, Syracuse, New York |
| Authorized Official Name and Position | Gerald A Seals (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3154246080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baby B.a.c.k. Inc. 107 Cornell Ave Syracuse NY 13207-2108 Ph: (315) 424-6080 | Baby B.a.c.k. Inc. 107 Cornell Ave Syracuse NY 13207-2108 Ph: (315) 424-6080 |
| NPI Number | 1871978585 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 07/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871978585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (New York) | Secondary |
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