| Suny Upstate Medical University | |
|
713 Harrison St Syracuse NY 13210-2305 | |
| (315) 247-4221 | |
| Not Available |
| Full Name | Suny Upstate Medical University |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 713 Harrison St, Syracuse, New York |
| Authorized Official Name and Position | Alicia Marie Franceschi (PSYCHIATRIC SOCIAL WORKER) |
| Authorized Official Contact | 3152474221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suny Upstate Medical University 713 Harrison St Syracuse NY 13210-2305 Ph: (315) 247-4221 | Suny Upstate Medical University 713 Harrison St Syracuse NY 13210-2305 Ph: (315) 247-4221 |
| NPI Number | 1144895368 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144895368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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