Consultation Services of Central New York - Medicine Provider, Pllc
NPI #1205089992 in Fayetteville, New York
Provider Information
- NPI Number
- 1205089992
- Entity Type
- Organization
- Organization Name
- Consultation Services of Central New York - Medicine Provider, Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 7030 E GENESEE ST
- Address 2
- SUITE 109
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1121
- Phone
- (315) 560-6919
Authorized Official
- Name
- DR. MATTHEW HENRY ROSA, M.D.
- Title
- OWNER
- Phone
- (315) 560-6919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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