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CENTRAL NY MENTAL HEALTH SERVICES

Behavioral Analyst

Utica, New York

Provider NPI: 1033353024

Organization Information:
Organization Name:  CENTRAL NY MENTAL HEALTH SERVICES
Organization is not Subpart
Authorized Official:  MINHAJ U SIDDIQI  OWNER  315-2660600

Practice Location:
286 GENESEE ST  UTICA, NY 13502 US
Tel: 315-266-0600  Fax: 315-266-0611

Business Mailing Address:
286 GENESEE ST  UTICA, NY 13502 US
Tel: 315-266-0600  Fax: 315-266-0611

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

NY232467

Other Provider Identifiers:

IssuerNumberStateType
02695325NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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