| Integrated Community Medical Care Pllc | |
|
310 Main St Utica NY 13501-1236 | |
| (315) 792-9039 | |
| Not Available |
| Full Name | Integrated Community Medical Care Pllc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 310 Main St, Utica, New York |
| Authorized Official Name and Position | Jayuraju Raju (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3157929039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Community Medical Care Pllc 310 Main St Utica NY 13501-1236 Ph: (315) 792-9039 | Integrated Community Medical Care Pllc 310 Main St Utica NY 13501-1236 Ph: (315) 792-9039 |
| NPI Number | 1861351876 |
|---|---|
| Provider Enumeration Date | 01/16/2026 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861351876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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