| Kelberman Center, Inc | |
|
430 Court St Ste 140 Utica NY 13502-4290 | |
| (315) 797-6241 | |
| (315) 749-7054 |
| Full Name | Kelberman Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 430 Court St Ste 140, Utica, New York |
| Authorized Official Name and Position | Maria Cappoletti (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3157976241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelberman Center, Inc 2513 Sunset Ave Utica NY 13502-5851 Ph: (315) 797-6241 | Kelberman Center, Inc 430 Court St Ste 140 Utica NY 13502-4290 Ph: (315) 797-6241 |
| NPI Number | 1154779965 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 08/18/2025 |
| Medicare PECOS PAC ID | 8921387887 |
|---|---|
| Medicare Enrollment ID | O20161116002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154779965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
| Provider Name | George K Tomy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265426480 PECOS PAC ID: 5395794705 Enrollment ID: I20050112000890 |
| Provider Name | Nicole M Derosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427309228 PECOS PAC ID: 6608190673 Enrollment ID: I20150122000313 |
| Provider Name | Leah W. Welchons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477992626 PECOS PAC ID: 9436438306 Enrollment ID: I20161116002333 |
| Provider Name | Timothy Dempsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902155740 PECOS PAC ID: 5698038321 Enrollment ID: I20180411001677 |
| Provider Name | Kelly Lynn Buffa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508106386 PECOS PAC ID: 9133660699 Enrollment ID: I20240924002749 |
| Provider Name | Loni Babcock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265146252 PECOS PAC ID: 6507399607 Enrollment ID: I20241029000083 |
| Provider Name | Rosemarie Fesko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215746144 PECOS PAC ID: 3375072911 Enrollment ID: I20250127000709 |
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Toby A Taylor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
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Douglas Ahn, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-738-7883 Fax: 315-738-0347 | |
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