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Organization
SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC
Active
Organization
SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC
Active
Parent organization
SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC
Other names
Skaneateles Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ANDREWS NEUROSCIENCE(MEDICAL NEUROPSYCHIATRY)LLC
Authorized official
OLUMUYIWA ROBBERT GAY MD (AUTHORIZED OFFICIAL)
(315) 857-5971
Entity
Organization
Contact information
Practice address
7 FENNELL ST LOWR LEVEL, SKANEATELES, NY 13152
(315) 857-5971
Mailing address
7 FENNELL ST LOWR LEVEL, SKANEATELES, NY 13152-1196
(315) 857-5971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101416
NY
2084P0800X
Psychiatry Physician
Primary
247603
NY
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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