| Upstate Medical University | |
|
750 E Adams St Syracuse NY 13210-2306 | |
| (315) 464-6530 | |
| (315) 464-8383 |
| Full Name | Upstate Medical University |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 750 E Adams St, Syracuse, New York |
| Authorized Official Name and Position | Stuart M Wright (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3154646530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Medical University 750 E Adams St Syracuse NY 13210-2306 Ph: (315) 464-6530 | Upstate Medical University 750 E Adams St Syracuse NY 13210-2306 Ph: (315) 464-6530 |
| NPI Number | 1144288531 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 7214833086 |
|---|---|
| Medicare Enrollment ID | O20061020000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144288531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 3301007H (New York) | Primary |
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