Jcr Medicine Canal Street Pllc

NPI #1225402779 in Syracuse, New York

Provider Information

NPI Number: 1225402779
Entity Type: Organization
Organization Name: Jcr Medicine Canal Street Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 20, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 961 CANAL ST
City: Syracuse
State: New York
ZIP Code: 13210-1203
Phone: (315) 478-1977

Authorized Official

Name: JOHN C RADFORD, MD
Title: OWNER
Phone: (716) 699-9032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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