Upstate Pca Institute

NPI #1215621586 in Utica, New York

Provider Information

NPI Number: 1215621586
Entity Type: Organization
Organization Name: Upstate Pca Institute
Primary Specialty: In Home Supportive Care
Enumeration Date: Jun 8, 2023
Last Updated: Dec 14, 2024

Practice Location

Address: 1216 GRAY AVE
City: Utica
State: New York
ZIP Code: 13502-3959
Phone: (315) 542-4209

Authorized Official

Name: SHANNON GREEN, HHA,PCA
Title: MD
Phone: (315) 864-0416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
In Home Supportive Care	253Z00000X	Primary

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