Provider Demographics
NPI:1467820381
Name:MEALS ON WHEELS OF SYRACUSE NEW YORK INC.
Entity Type:Organization
Organization Name:MEALS ON WHEELS OF SYRACUSE NEW YORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-478-5948
Mailing Address - Street 1:300 BURT ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-3954
Mailing Address - Country:US
Mailing Address - Phone:315-478-5948
Mailing Address - Fax:315-478-6770
Practice Address - Street 1:300 BURT ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-3954
Practice Address - Country:US
Practice Address - Phone:315-478-5948
Practice Address - Fax:315-478-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals