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ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY NPI 1215960802


NPI Information

NPI: 1215960802
Provider Name: ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY

Other Name: ST. CAMILLUS PHYSICIAN GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D0860967

Address:
813 FAY RD
SYRACUSE, NY
ZIP 13219
Phone: (315) 488-2951
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ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY is an internal medicine in Syracuse, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY NPI is 1215960802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Camillus Physician Group.

The provider's business location address is:

813 FAY RD
SYRACUSE, NY
ZIP 13219-009
Phone: (315) 488-2951
Fax: (315) 488-7734

The provider's authorized official is Michael Zingaro .
The authorized official title is Cfo and has the following contact phone number (315) 703-0646.

The CLIA number assigned to this NPI record is 33D0860967 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/19/2016.


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
1207R00000XInternal MedicineYes

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
170130AMEDICARE ID-TYPE UNSPECIFIEDNEW YORKPHYSICIAN GROUP

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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