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Organization
CENTRAL NY MENTAL HEALTH SERVICES
Active
Organization
CENTRAL NY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINHAJ U SIDDIQI MD (OWNER)
(315) 266-0600
Entity
Organization
Contact information
Practice address
286 GENESEE ST, UTICA, NY 13502-4639
(315) 266-0600
(315) 266-0611
Mailing address
286 GENESEE ST, UTICA, NY 13502-4639
(315) 266-0600
(315) 266-0611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
232467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02695325
—
NY
Enumeration date
04/22/2009
Last updated
04/22/2009
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