| Central New York Medical Practice, Pllc | |
|
600 E Genesee St Syracuse NY 13202-3130 | |
| (315) 464-3157 | |
| Not Available |
| Full Name | Central New York Medical Practice, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 600 E Genesee St, Syracuse, New York |
| Authorized Official Name and Position | Robert Myers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3157984040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central New York Medical Practice, Pllc 1601 Armory Dr Building C Utica NY 13501-5405 Ph: (315) 797-6241 | Central New York Medical Practice, Pllc 600 E Genesee St Syracuse NY 13202-3130 Ph: (315) 464-3157 |
| NPI Number | 1962765016 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 11/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962765016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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