| St. Camillus Residential Health Care Facility | |
|
813 Fay Rd Syracuse NY 13219-3009 | |
| (315) 488-2951 | |
| (315) 488-7734 |
| Full Name | St. Camillus Residential Health Care Facility |
|---|---|
| Speciality | Case Management |
| Location | 813 Fay Rd, Syracuse, New York |
| Authorized Official Name and Position | Michael Zingaro (CFO) |
| Authorized Official Contact | 3157030646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Camillus Residential Health Care Facility 813 Fay Rd Syracuse NY 13219-3009 Ph: (315) 488-2951 | St. Camillus Residential Health Care Facility 813 Fay Rd Syracuse NY 13219-3009 Ph: (315) 488-2951 |
| NPI Number | 1053452656 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053452656 | NPI | - | NPPES |
| 01585359 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | TBI00076 (New York) | Secondary |
| 251B00000X | Case Management | TBI00076 (New York) | Primary |
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