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NYSARC INC. ONONDAGA COUNTY CHAPTER NPI 1043397490


NPI Information

NPI: 1043397490
Provider Name: NYSARC INC. ONONDAGA COUNTY CHAPTER
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
600 S WILBUR AVE
SYRACUSE, NY
ZIP 13204
Phone: (315) 476-7441
Get Directions

NYSARC INC. ONONDAGA COUNTY CHAPTER is a developmental disabilities clinic center in Syracuse, NY. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NYSARC INC. ONONDAGA COUNTY CHAPTER NPI is 1043397490. The provider is registered as an organization entity type.

The provider's business location address is:

600 S WILBUR AVE
SYRACUSE, NY
ZIP 13204-730
Phone: (315) 476-7441
Fax: (315) 424-6001

The provider's authorized official is Stanfort J. Perry .
The authorized official title is Execuitive Director and has the following contact phone number (315) 476-7441.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101474799MEDICAIDNEW YORK
200560238MEDICAIDNEW YORK
354793AMEDICARE ID-TYPE UNSPECIFIEDNEW YORKHORIZONS CLINIC
401162096MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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