| Mcmahon Ryan Child Advocacy Site, Inc. | |
|
601 E Genesee St Syracuse NY 13202-3117 | |
| (315) 701-2985 | |
| Not Available |
| Full Name | Mcmahon Ryan Child Advocacy Site, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 601 E Genesee St, Syracuse, New York |
| Authorized Official Name and Position | Colleen Merced (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3157012985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmahon Ryan Child Advocacy Site, Inc. 601 E Genesee St Syracuse NY 13202-3117 Ph: (315) 701-2985 | Mcmahon Ryan Child Advocacy Site, Inc. 601 E Genesee St Syracuse NY 13202-3117 Ph: (315) 701-2985 |
| NPI Number | 1528759917 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528759917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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