| Upstate Family Health Center Incorporated | |
| 
					1001 Noyes St Utica NY 13502-4400  | |
| (315) 507-2081 | |
| (315) 507-2847 | 
| Full Name | Upstate Family Health Center Incorporated | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1001 Noyes St, Utica, New York | 
| Authorized Official Name and Position | Wanda M Schmidt (OPERATIONS MANAGER) | 
| Authorized Official Contact | 3156249470 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Upstate Family Health Center Incorporated 1001 Noyes St Utica NY 13502-4400 Ph: (315) 624-9470  | Upstate Family Health Center Incorporated 1001 Noyes St Utica NY 13502-4400 Ph: (315) 507-2081  | 
| NPI Number | 1205203023 | 
|---|---|
| Provider Enumeration Date | 08/27/2015 | 
| Last Update Date | 01/16/2018 | 
| Medicare PECOS PAC ID | 5092007104 | 
|---|---|
| Medicare Enrollment ID | O20160711001987 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205203023 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
| Provider Name | David D Liu | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1225050404 PECOS PAC ID: 8729040993 Enrollment ID: I20041029000810  | 
| Provider Name | Christopher Montanaro | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1285833145 PECOS PAC ID: 6204878028 Enrollment ID: I20050523000713  | 
| Provider Name | Tracy F Stein | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326062308 PECOS PAC ID: 2264596527 Enrollment ID: I20090130000548  | 
| Provider Name | Richard S Larkin | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1346250081 PECOS PAC ID: 2264583616 Enrollment ID: I20090625000472  | 
| Provider Name | John P Kosar | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1538179353 PECOS PAC ID: 1557412806 Enrollment ID: I20090625000552  | 
| Provider Name | Joseph Dimaria | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952506230 PECOS PAC ID: 1557415718 Enrollment ID: I20090821000611  | 
| Provider Name | Shannon Meyers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164653622 PECOS PAC ID: 2466597398 Enrollment ID: I20100303000859  | 
| Provider Name | Paula Vecchio | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952392904 PECOS PAC ID: 8325174055 Enrollment ID: I20100331001159  | 
| Provider Name | Amanda J Avery | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851528566 PECOS PAC ID: 6204964661 Enrollment ID: I20100506000222  | 
| Provider Name | Ryan S Young | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750764239 PECOS PAC ID: 5092019802 Enrollment ID: I20160215000925  | 
| Provider Name | Carol A Lateer | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1629315528 PECOS PAC ID: 9335433010 Enrollment ID: I20160803000432  | 
| Provider Name | Jaime M Blum | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245717818 PECOS PAC ID: 4486903838 Enrollment ID: I20180820000828  | 
| Provider Name | Aline Bayard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972961068 PECOS PAC ID: 2466756291 Enrollment ID: I20190829001304  | 
| Provider Name | Michael S Babula | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043988413 PECOS PAC ID: 8022409564 Enrollment ID: I20211217000176  | 
| Provider Name | Nicole Marchesani | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013534767 PECOS PAC ID: 5799170726 Enrollment ID: I20220309002805  | 
| Provider Name | Zawsai Aung | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467795344 PECOS PAC ID: 5890170765 Enrollment ID: I20220913001060  | 
| Provider Name | Inna Salisbury | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568180313 PECOS PAC ID: 0345611463 Enrollment ID: I20230126002884  | 
| Provider Name | Torie E Hairston | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1568700201 PECOS PAC ID: 2062891229 Enrollment ID: I20230203001441  | 
| Provider Name | Meriam Bulay Pepperine | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578335766 PECOS PAC ID: 7618328550 Enrollment ID: I20240104004264  | 
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  | |
Mosaic Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Parkside Ct Bldg 1, Utica, NY 13501 Phone: 585-325-2280  | |
Kelberman Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Court St Ste 140, Utica, NY 13502 Phone: 315-797-6241 Fax: 315-749-7054  |