| Nys Office Of Mental Health | |
|
620 Madison St Syracuse NY 13210-2319 | |
| (315) 473-4980 | |
| Not Available |
| Full Name | Nys Office Of Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 620 Madison St, Syracuse, New York |
| Authorized Official Name and Position | Beth Giarrusso (DIRECTOR FINANCE) |
| Authorized Official Contact | 5184733598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nys Office Of Mental Health 44 Holland Ave Albany NY 12229-0001 Ph: (518) 473-3598 | Nys Office Of Mental Health 620 Madison St Syracuse NY 13210-2319 Ph: (315) 473-4980 |
| NPI Number | 1811054034 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 3072782432 |
|---|---|
| Medicare Enrollment ID | O20150427000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811054034 | NPI | - | NPPES |
| 00769466 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New York) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Primary |
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