1841621000

Everything you always wanted to know about CANTON-POTSDAM HOSPITAL 3 CPH ANESTHESIOLOGY PHYSICIANS MR. JACOBS D RICHARD but were afraid to ask.

CANTON-POTSDAM HOSPITAL 3 CPH ANESTHESIOLOGY PHYSICIANS MR. JACOBS D RICHARD

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
CANTON-POTSDAM HOSPITAL 3 CPH ANESTHESIOLOGY PHYSICIANS MR. JACOBS D RICHARD
Gender:
none
Enumeration date:
2013-12-12
Last update date:
2013-12-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
<UNAVAIL> Parent Organization TIN

Taxonomies

Taxonomy State License Number Primary?
207L00000X Anesthesiology none none

Phone Numbers

Type Number
Mailing Address Telephone Number 3154490513
Mailing Address Fax Number 3153625120
Authorized Official Telephone Number 3152615100
Practice Location Address Telephone Number 3152615501
Practice Location Address Fax Number 3152616404

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 2005 EAST SYRACUSE NY 13057 NY
Practice Location Address 50 LEROY ST POTSDAM NY 13676 NY

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Organization
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Organization
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Organization
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
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Individual
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Organization
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Organization
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Organization
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Individual
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Individual
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Organization
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Organization
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Organization
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Individual
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Individual
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
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Organization
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Individual
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Individual
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Individual
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Organization
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
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Individual
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Individual
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
4900 BROAD RD NY SYRACUSE
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Organization
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Organization
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
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Individual
736 IRVING AVE NY SYRACUSE
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Individual
736 IRVING AVE NY SYRACUSE
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Individual
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Organization
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Individual
4900 BROAD RD NY SYRACUSE
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Individual
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Organization
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Individual
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Individual
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Individual
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Individual
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Individual
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Organization
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Organization
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Organization
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Individual
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Individual
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Individual
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Individual
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Organization
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