| Central New York Quest, Inc. | |
|
587 Main St Suite 108 New York Mills NY 13417-1481 | |
| (315) 732-3431 | |
| (866) 822-2343 |
| Full Name | Central New York Quest, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 587 Main St, New York Mills, New York |
| Authorized Official Name and Position | Andy Lopez-williams (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3157323431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central New York Quest, Inc. 587 Main St Suite 108 New York Mills NY 13417-1481 Ph: (315) 732-3431 | Central New York Quest, Inc. 587 Main St Suite 108 New York Mills NY 13417-1481 Ph: (315) 732-3431 |
| NPI Number | 1649540063 |
|---|---|
| Provider Enumeration Date | 01/02/2012 |
| Last Update Date | 01/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649540063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017312-1 (New York) | Primary |
Nurse Practitioner In Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 587 Main St, Suite 110a, New York Mills, NY 13417 Phone: 315-723-6031 Fax: 315-507-5823 |