Provider Demographics
NPI:1992275481
Name:HUTCHINGS PSYCHIATRIC CENTER
Entity type:Organization
Organization Name:HUTCHINGS PSYCHIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE 1
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIONNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-748-4353
Mailing Address - Street 1:107 ASHFORD COURT
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13211
Mailing Address - Country:US
Mailing Address - Phone:315-748-4353
Mailing Address - Fax:
Practice Address - Street 1:620 MADISON STREET
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-426-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care