| Syracuse Recovery Services | |
|
319 E Water St Syracuse NY 13202-1123 | |
| (315) 475-1771 | |
| (315) 475-4601 |
| Full Name | Syracuse Recovery Services |
|---|---|
| Speciality | Counselor |
| Location | 319 E Water St, Syracuse, New York |
| Authorized Official Name and Position | Megan Stiles (DIRECTOR) |
| Authorized Official Contact | 3154751771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Recovery Services 319 E Water St Syracuse NY 13202-1123 Ph: (315) 475-1771 | Syracuse Recovery Services 319 E Water St Syracuse NY 13202-1123 Ph: (315) 475-1771 |
| NPI Number | 1609931765 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 1658635321 |
|---|---|
| Medicare Enrollment ID | O20180504000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609931765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Primary |
| Provider Name | Dorothy R Lennon |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1992702245 PECOS PAC ID: 9739107772 Enrollment ID: I20051108000471 |
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