Organization
UPSTATE PSYCHIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD M IQBAL MD.,MPH (OWNER)
(315) 638-0979
Entity
Organization
Contact information
Practice address
3070 BELGIUM RD, BALDWINSVILLE, NY 13027-9239
(315) 638-0835
(315) 216-6812
Mailing address
P.O. BOX 5485, OSWEGO, NY 13126-5485
(315) 216-6812
(315) 216-6812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
239357-1
NY
Other
Enumeration date
02/20/2009
Last updated
11/23/2009
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