| Upstate Medical Professionals, Pc | |
|
1810 Erie Blvd E Syracuse NY 13210-1230 | |
| (315) 552-1050 | |
| Not Available |
| Full Name | Upstate Medical Professionals, Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1810 Erie Blvd E, Syracuse, New York |
| Authorized Official Name and Position | Derek Robert Cooney (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3155521050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Medical Professionals, Pc 1810 Erie Blvd E Syracuse NY 13210-1230 Ph: (315) 552-1050 | Upstate Medical Professionals, Pc 1810 Erie Blvd E Syracuse NY 13210-1230 Ph: (315) 552-1050 |
| NPI Number | 1891382123 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891382123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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