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Central New York Dc, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Syracuse, New York
NPI 1932271251

Central New York Dc, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Boulder, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Central New York Dc, Llc practices in Syracuse, NY. The NPI Number for Central New York Dc, Llc is 1932271251 and holds a License No. 3301217R (New York).

The current practice location address for Central New York Dc, Llc is 910 Erie Blvd E, Syracuse, NY and can be reached out via phone at 315-410-8040 and via fax at 315-410-8030.

Location: 910 Erie Blvd E, Syracuse, NY, 80301-2838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932271251
Provider Name
Central New York Dc, Llc
Credential
Provider Entity Type
Organization
Address
910 Erie Blvd E, Syracuse, NY, 80301-2838
Phone Number
315-410-8040
Fax Number
315-410-8030
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97005 01 NY MVP PROVIDER NUMBER
02300801 05 NY
institution
Provider Business Practice Location Address Details
Address
910 Erie Blvd E
City
Syracuse
State
New York
Zip
13210-1060
Phone Number
315-410-8040
Fax Number
315-410-8030
person
Provider Business Mailing Address Details
Address
910 Erie Blvd E
City
Syracuse
State
New York
Zip
13210-1060
Phone Number
315-410-8040
Fax Number
315-410-8030
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
3301217R (New York)
Definition
Definition to come...
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