# MEDICAL AND MENTAL HEALTH PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770642076
- **Authorized official:** RESITUTO ACOSTA MD (OWNER)
- **Authorized official phone:** (315) 337-2582

## Contact information

- **Practice address:** 117 W LIBERTY ST, SUITE 2, ROME, NY 13440-5758
- **Practice address phone:** (315) 337-2582
- **Mailing address:** 117 W LIBERTY ST, SUITE 2, ROME, NY 13440-5758
- **Mailing address phone:** (315) 337-2582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 09/11/2025