# CNY MIND & WELLNESS LLC

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

## Provider details

- **NPI number:** 1811727613
- **Authorized official:** MR. ERIC M TAUBERT (CEO)
- **Authorized official phone:** (315) 335-1285

## Contact information

- **Practice address:** 258 GENESEE ST STE 202, UTICA, NY 13502-4636
- **Practice address phone:** (315) 335-1285
- **Mailing address:** 207 STROUD ST, CANASTOTA, NY 13032-1425
- **Mailing address phone:** (315) 335-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 08/06/2024