| Medical And Mental Health Practice, Pc | |
|
117 W Liberty St Suite 2 Rome NY 13440-5758 | |
| (315) 337-2582 | |
| Not Available |
| Full Name | Medical And Mental Health Practice, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 117 W Liberty St, Rome, New York |
| Authorized Official Name and Position | Resituto Acosta (OWNER) |
| Authorized Official Contact | 3153372582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Mental Health Practice, Pc 117 W Liberty St Suite 2 Rome NY 13440-5758 Ph: (315) 337-2582 | Medical And Mental Health Practice, Pc 117 W Liberty St Suite 2 Rome NY 13440-5758 Ph: (315) 337-2582 |
| NPI Number | 1770642076 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770642076 | NPI | - | NPPES |
| 02750012 | Medicaid | NY |
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