| Cny Psychological Associates, Pllc | |
|
600 E Genesee St Suite 228 Syracuse NY 13202-3130 | |
| (315) 234-0212 | |
| (315) 234-0214 |
| Full Name | Cny Psychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 600 E Genesee St, Syracuse, New York |
| Authorized Official Name and Position | Thomas Malcolm Griffiths (PRESIDENT) |
| Authorized Official Contact | 3152340212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cny Psychological Associates, Pllc 600 E Genesee St Suite 228 Syracuse NY 13202-3130 Ph: (315) 234-0212 | Cny Psychological Associates, Pllc 600 E Genesee St Suite 228 Syracuse NY 13202-3130 Ph: (315) 234-0212 |
| NPI Number | 1740407782 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951353325 |
|---|---|
| Medicare Enrollment ID | O20050214000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740407782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 010307 (New York) | Primary |
| Provider Name | Thomas M Griffiths |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780788703 PECOS PAC ID: 0840242210 Enrollment ID: I20110429000245 |
| Provider Name | Lenore L Griffiths |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205910262 PECOS PAC ID: 1254504947 Enrollment ID: I20111025000113 |
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