Finger Lakes Psychiatric Associates, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FINGER LAKES PSYCHIATRIC ASSOCIATES, PC

Practice address

4900 Broad Rd
Syracuse, NY 13215-2265

Phone

(315) 492-5635

NPI assigned

Oct 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Muslim Khan, MD

Title

Owner

Phone

(315) 492-5635

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1396934923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-422-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES PSYCHIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSLIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-5635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Finch, DO MPH
• Felipa Finck
• Jessica Fine
• Ruth Fine, PTA
• Finger Lakes Ipa, Inc.
• Steven E Finkelstein, MD
• John F Finkenstadt, M.D.
• Natalie Finkle
• Vicki Anne Finkle, P.T.
• Allison Finley, RBT

• Psychiatry Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.