Organization
CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HENRY ROSA M.D. (OWNER)
(315) 560-6919
Entity
Organization
Contact information
Practice address
7030 E GENESEE ST, SUITE 109, FAYETTEVILLE, NY 13066-1121
(315) 560-6919
Mailing address
7030 E GENESEE ST, SUITE 109, FAYETTEVILLE, NY 13066-1121
(315) 560-6919
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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