Organization
INTEGRATED COMMUNITY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYURAJU RAJU MD (MEDICAL DIRECTOR)
(315) 792-9039
Entity
Organization
Contact information
Practice address
310 MAIN ST, UTICA, NY 13501-1236
(315) 792-9039
Mailing address
310 MAIN ST, UTICA, NY 13501-1236
(315) 792-9039
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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