Consultation Services of Central New York - Medicine Provider, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fayetteville, NY
NPI 1205089992 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1205089992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC
- Practice address
- 7030 E Genesee St
Suite 109
Fayetteville, NY 13066-1121 - Phone
- (315) 560-6919
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew Henry Rosa, M.D.
- Title
- Owner
- Phone
- (315) 560-6919
Practitioners 1
National Provider Directory
Locations
7030 E Genesee St
Ste 109
Fayetteville, NY 13066
Phone (315) 510-6760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
7030 E Genesee St
Suite 109
Fayetteville, NY 13066-1121
Mailing address
7030 E Genesee St
Suite 109
Fayetteville, NY 13066-1121
Phone (315) 560-6919
Other providers in Fayetteville, NY
- Marla Cohen
- Paul Michael Cohen
- Jeffrey P Collins
- Rosemary Ann Collins
- Julie Y Colvin
- Rene L Converse
- Anita Convertino
- Meghan Conway
- Cook Physical Therapy PC
- Mark D Cook
All providers in Fayetteville, NY · Mental Health Clinic/Center (Including Community Mental Health Center) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.