Provider Demographics
NPI:1346798741
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL NEW YORK, INC
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL NEW YORK, INC
Other - Org Name:YMCA OF GREATER SYRACUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:HAWKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-474-6851
Mailing Address - Street 1:340 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-2015
Mailing Address - Country:US
Mailing Address - Phone:315-474-6851
Mailing Address - Fax:315-474-6857
Practice Address - Street 1:340 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2015
Practice Address - Country:US
Practice Address - Phone:315-474-6851
Practice Address - Fax:315-474-6857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty