| Mh-cny-fl Medical Pc | |
|
109 South Warren St. Suite 1605 Syracuse NY 13202 | |
| (315) 475-3178 | |
| (315) 682-3879 |
| Full Name | Mh-cny-fl Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 109 South Warren St., Syracuse, New York |
| Authorized Official Name and Position | Riaz Sibtain Syed (PRESIDENT CEO) |
| Authorized Official Contact | 3154753178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mh-cny-fl Medical Pc 109 South Warren Street Suite 1605 Syracuse NY 13202 Ph: (315) 475-3178 | Mh-cny-fl Medical Pc 109 South Warren St. Suite 1605 Syracuse NY 13202 Ph: (315) 475-3178 |
| NPI Number | 1679707772 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Medicare PECOS PAC ID | 3577614775 |
|---|---|
| Medicare Enrollment ID | O20090630000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679707772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 137659 (New York) | Primary |
| Provider Name | Riaz S Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427029727 PECOS PAC ID: 0941351142 Enrollment ID: I20090630000004 |
| Provider Name | Patricia D Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962635649 PECOS PAC ID: 5597017830 Enrollment ID: I20181015001319 |
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