| Onondaga Case Management Services Inc. | |
|
620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 | |
| (315) 472-7363 | |
| Not Available |
| Full Name | Onondaga Case Management Services Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 620 Erie Blvd W Ste 302, Syracuse, New York |
| Authorized Official Name and Position | Ann Gulliver (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3154727363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onondaga Case Management Services Inc. 620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 Ph: (315) 472-7363 | Onondaga Case Management Services Inc. 620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 Ph: (315) 472-7363 |
| NPI Number | 1841940285 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841940285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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