| 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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