NYSARC INC. ONONDAGA COUNTY CHAPTER (NPI# 1043397490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043397490 |
| Entity Type | Organization |
| Organization Name | NYSARC INC. ONONDAGA COUNTY CHAPTER |
| Practice Address |
600 S Wilbur Ave Syracuse NY 13204-2730 |
| Practice Telephone | 3154767441 |
| Practice Fax Number | 3154246001 |
| Mailing Telephone | 3154767441 |
| Mailing Fax Number | 3154246001 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MR. STANFORT J. PERRY (EXECUITIVE DIRECTOR) |
| Authorized Official Telephone | 3154767441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01162096 | 05 | |
| NY | 01474799 | 05 | |
| NY | 00560238 | 05 |
| Street Address |
600 S WILBUR AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845761 | Ezra Grenade | Student in an Organized Health Care Education/Training Program | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2020-03-04 |
| 1154972065 | Samantha Sinegar | Student in an Organized Health Care Education/Training Program | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-09-23 |
| 1821645292 | Madison Alexis Gonzalez | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-08-21 |
| 1003398363 | Christy Lynn Musser | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2018-09-04 |
| 1184154403 | Oxana Panol | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2017-06-19 |
| 1437533437 | Vincent Darden | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2015-07-20 |
| 1386970713 | Michelle Robinson | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-10-20 |
| 1598996571 | Nysarc- Arc of Onondaga | Early Intervention Provider Agency | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-08-07 |
| 1619007259 | Jenelle M Gallardo | Occupational Therapy Assistant | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972637684 | State of New York Comptrollers Office | Clinic/Center | 4601 Nixon Park Dr, Syracuse, NY 13215-9759 | 2007-03-15 |
| 1669512398 | State of New York Comptrollers Office | Clinic/Center | 215 Bassett St, Syracuse, NY 13210-2113 | 2007-02-08 |
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|---|---|---|---|---|
| 1861009839 | Always By Your Side, Inc. | Clinic/Center | 102 Beaumont Street, Brooklyn, NY 11235-4119 | 2020-09-24 |
| 1942861042 | Sensory Tot Spot Occupational Therapy Pllc | Clinic/Center | 24 Conifer Dr, Burnt Hills, NY 12027-9706 | 2019-06-28 |
| 1972084366 | State of New York Comptrollers Office | Clinic/Center | Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 | 2018-08-24 |
| 1750877783 | Meaningful Occupational Therapy, P.C. | Clinic/Center | 21405 18th Ave Apt 3, Bayside, NY 11360-1604 | 2018-07-02 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1033569736 | State of New York Comptrollers Office | Clinic/Center | 144 W Main St, Phelps, NY 14532 | 2016-06-14 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1588014260 | State of New York Comptrollers Office | Clinic/Center | 2059 E Henrietta Rd, Rochester, NY 14623-3922 | 2016-06-14 |
| 1306291521 | Richmond Children Center | Clinic/Center | 1291 Saw Mill River Rd, Yonkers, NY 10710-2700 | 2016-04-25 |
| 1780099606 | Sensory Heights Occupational Therapy, P.C. | Clinic/Center | 1275 81st St, Brooklyn, NY 11228-3003 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.