Central Ny Mental Health Services | |
286 Genesee St Utica NY 13502-4639 | |
(315) 266-0600 | |
(315) 266-0611 |
Full Name | Central Ny Mental Health Services |
---|---|
Speciality | Behavior Analyst |
Location | 286 Genesee St, Utica, New York |
Authorized Official Name and Position | Minhaj U Siddiqi (OWNER) |
Authorized Official Contact | 3152660600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Ny Mental Health Services 286 Genesee St Utica NY 13502-4639 Ph: (315) 266-0600 | Central Ny Mental Health Services 286 Genesee St Utica NY 13502-4639 Ph: (315) 266-0600 |
NPI Number | 1033353024 |
---|---|
Provider Enumeration Date | 04/22/2009 |
Last Update Date | 04/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033353024 | NPI | - | NPPES |
02695325 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 232467 (New York) | Primary |
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