Organization
CENTRAL NEW YORK MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MYERS PHD (EXECUTIVE DIRECTOR)
(315) 798-4040
Entity
Organization
Contact information
Practice address
600 E GENESEE ST, SYRACUSE, NY 13202-3130
(315) 464-3157
Mailing address
1601 ARMORY DR, BUILDING C, UTICA, NY 13501-5405
(315) 797-6241
(315) 749-7054
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
06/22/2012
Last updated
11/12/2012
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