Provider Demographics
NPI:1699730408
Name:ONONDAGA COUNTY COMPTROLLERS OFFICE
Entity type:Organization
Organization Name:ONONDAGA COUNTY COMPTROLLERS OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-435-3346
Mailing Address - Street 1:421 MONTGOMERY ST
Mailing Address - Street 2:JOHN H MULROY CIVIC CENTER
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-2923
Mailing Address - Country:US
Mailing Address - Phone:315-435-2957
Mailing Address - Fax:315-435-3590
Practice Address - Street 1:618 MADISON ST
Practice Address - Street 2:CHILDREN AND FAMILY SERVICES OUTPATIENT CLINIC
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-435-7707
Practice Address - Fax:315-435-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03004386Medicaid