NPI 1588094668

Ther Centers at St. Camillus

Organisation Health Maintenance Organization Syracuse, NY

Practice location

Address: 813 Fay Rd, Syracuse, NY 13219-3009
Phone: (315) 703-0685
Fax: (315) 488-3804

Authorised official

Name: Octavia Venese Ross-Hardy
Title: Ilst
Phone: (315) 703-0685

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1588094668
Entity type: Organization
NPI issued: 26 Nov 2013
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.