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UPSTATE PHYSICIAN SERVICES PC NPI 1740728013


NPI Information

NPI: 1740728013
Provider Name: UPSTATE PHYSICIAN SERVICES, PC

Other Name: NEW HAVEN ADDICTION SERVICES OP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2001 5TH AVENUE
SUITE 110
TROY, NY
ZIP 12180
Phone: (518) 687-1960
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UPSTATE PHYSICIAN SERVICES, PC is a specialist in Troy, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UPSTATE PHYSICIAN SERVICES, PC NPI is 1740728013. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is New Haven Addiction Services Op.

The provider's business location address is:

2001 5TH AVENUE
SUITE 110
TROY, NY
ZIP 12180
Phone: (518) 687-1960
Fax: (518) 687-1970

The provider's authorized official is Mustafain Meghani .
The authorized official title is Owner and has the following contact phone number (518) 687-1960.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 2/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist171212063NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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