| Upstate Physician Services, Pc | |
|
2001 5th Ave Suite 110 Troy NY 12180-3482 | |
| (518) 687-1960 | |
| (518) 687-1970 |
| Full Name | Upstate Physician Services, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 5th Ave, Troy, New York |
| Authorized Official Name and Position | Mustafain Y Meghani (CEO) |
| Authorized Official Contact | 5186871960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Physician Services, Pc Po Box 162 Delmar NY 12054-0162 Ph: (518) 687-1960 | Upstate Physician Services, Pc 2001 5th Ave Suite 110 Troy NY 12180-3482 Ph: (518) 687-1960 |
| NPI Number | 1114340510 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114340510 | NPI | - | NPPES |
| 03925651 | Medicaid | NY | |
| 04646599 | Medicaid | NY |
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