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Organization
MEDICAL AND MENTAL HEALTH PRACTICE, PC
Active
Organization
MEDICAL AND MENTAL HEALTH PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESITUTO ACOSTA MD (OWNER)
(315) 337-2582
Entity
Organization
Contact information
Practice address
117 W LIBERTY ST, SUITE 2, ROME, NY 13440-5758
(315) 337-2582
Mailing address
117 W LIBERTY ST, SUITE 2, ROME, NY 13440-5758
(315) 337-2582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
NULL
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
09/11/2025
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