| Clutch Np In Psychiatry And Community Health Pc | |
|
518 Audubon Pkwy Syracuse NY 13224-1208 | |
| (347) 257-6706 | |
| Not Available |
| Full Name | Clutch Np In Psychiatry And Community Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 518 Audubon Pkwy, Syracuse, New York |
| Authorized Official Name and Position | Afix Famosa (OWNER) |
| Authorized Official Contact | 3472576706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clutch Np In Psychiatry And Community Health Pc 518 Audubon Pkwy Syracuse NY 13224-1208 Ph: (347) 257-6706 | Clutch Np In Psychiatry And Community Health Pc 518 Audubon Pkwy Syracuse NY 13224-1208 Ph: (347) 257-6706 |
| NPI Number | 1972392074 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/12/2025 |
| Medicare PECOS PAC ID | 1557880226 |
|---|---|
| Medicare Enrollment ID | O20250527000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972392074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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