| 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  | 
A Louis Shaheen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Eagle Street, Utica, NY 13501 Phone: 315-735-4447 Fax: 315-735-4071  | |
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  | |
Upstate Family Health Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9470 Fax: 315-624-9480  | |
William A Graber Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Business Park Dr Ste 150, Utica, NY 13502 Phone: 315-235-2540 Fax: 315-235-2171  | |
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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