UPSTATE PHYSICIAN SERVICES, PC (NPI# 1740728013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740728013 |
Entity Type | Organization |
Organization Name | UPSTATE PHYSICIAN SERVICES, PC |
Other Organization Name | NEW HAVEN ADDICTION SERVICES OP |
Practice Address |
2001 5th Avenue Suite 110 Troy NY 12180 |
Mailing Address |
2001 5th Avenue Troy NY 12180 |
Practice Telephone | 5186871960 |
Practice Fax Number | 5186871970 |
Mailing Telephone | 5186871960 |
Mailing Fax Number | 5186871970 |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |
Authorized Official Name | MUSTAFAIN MEGHANI (OWNER) |
Authorized Official Telephone | 5186871960 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 171212063 | NY | Other Service Providers |
Other Name | Type Code |
---|---|
New Haven Addiction Services OP | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114340510 | Upstate Physician Services, PC | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2014-01-22 |
Street Address |
2001 5TH AVENUE SUITE 110 |
City | TROY |
State | NY |
Zip Code | 12180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164961785 | Jenae Halsted | Dietitian, Registered | 2001 5th Avenue, Suite 110, Troy, NY 12180-3340 | 2017-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
1578948766 | Heather Cascio Flexer | Physical Therapist | 223 Spring Ave, Troy, NY 12180 | 2015-07-29 |
Find all providers in zip 12180 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669957510 | Deandra Perez | Specialist | 16 Blakley Ct Fl 1, Troy, NY 12180-5820 | 2018-09-26 |
1538677588 | Peak Neurophysiology Group, LLC | Specialist | 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 | 2018-01-11 |
1891230454 | Pure Healthy Back | Specialist | 1500 W Big Beaver Rd Ste 150, Troy, MI 48084-3552 | 2017-01-05 |
1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
1992100358 | Catherine Rinella | Specialist | 1098 Spring Avenue Ext, Troy, NY 12180-7313 | 2014-10-28 |
1518383256 | Jennifer Bobersky | Specialist | 3 Patricia Dr, Troy, NY 12180-6132 | 2014-03-05 |
1699103796 | Helen Rezey | Specialist | 6 Greene St, Troy, NY 12180-6720 | 2013-10-29 |
1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
1093065609 | Denise Warren | Specialist | 597 3rd Avenue, Troy, NY 12182 | 2012-09-12 |
Find all providers in TROY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.