UPSTATE PHYSICIAN SERVICES, PC


Address: 2001 5th Avenue, Suite 110, Troy, NY 12180
Phone: 5186871960

UPSTATE PHYSICIAN SERVICES, PC (NPI# 1740728013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740728013
Entity Type Organization
Organization Name UPSTATE PHYSICIAN SERVICES, PC
Other Organization Name NEW HAVEN ADDICTION SERVICES OP
Practice Address 2001 5th Avenue
Suite 110
Troy
NY 12180
Mailing Address 2001 5th Avenue
Troy
NY 12180
Practice Telephone 5186871960
Practice Fax Number 5186871970
Mailing Telephone 5186871960
Mailing Fax Number 5186871970
Enumeration Date 2017-02-07
Last Update Date 2017-02-07
Authorized Official Name MUSTAFAIN MEGHANI (OWNER)
Authorized Official Telephone 5186871960
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 171212063 NY Other Service Providers

Other Provider/Organization Names

Other Name Type Code
New Haven Addiction Services OP Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114340510 Upstate Physician Services, PC Psychologist 2001 5th Ave, Suite 110, Troy, NY 12180-3482 2014-01-22

Office Location

Street Address 2001 5TH AVENUE
SUITE 110
City TROY
State NY
Zip Code 12180

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164961785 Jenae Halsted Dietitian, Registered 2001 5th Avenue, Suite 110, Troy, NY 12180-3340 2017-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528616232 Gwendolyn Eve Guarino Massage Therapist Lux, 207 River St, Troy, NY 12180 2019-08-27
1568020857 Shelby Mara Quintal Counselor 7 Collins Ave, Troy, NY 12180 2019-05-31
1881179646 St. Peter's Health Partners Medical Associates, P.C. Family Medicine 2109 15th Street, Troy, NY 12180 2018-09-27
1104354315 Karen Lynm Vincent Licensed Practical Nurse 830 Hoosick Rd Apt 1, Troy, NY 12180 2017-06-01
1205373263 Tsu Han Poh Pharmacist 204 Washington Street, Apt C1, Troy, NY 12180 2017-01-27
1053760546 Linda Pierre Religious Nonmedical Nursing Personnel 1680 Tibbits Ave, Troy, NY 12180 2016-06-06
1518312925 Matthew Pittelli Student in an Organized Health Care Education/Training Program 83 Lockrow Rd, Troy, NY 12180 2016-05-04
1780045765 Tara Michelle Miller Hearing Instrument Specialist 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 2016-03-17
1326410937 Seton Health System, Inc. Physician Assistant 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 2015-10-22
1578948766 Heather Cascio Flexer Physical Therapist 223 Spring Ave, Troy, NY 12180 2015-07-29
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669957510 Deandra Perez Specialist 16 Blakley Ct Fl 1, Troy, NY 12180-5820 2018-09-26
1538677588 Peak Neurophysiology Group, LLC Specialist 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 2018-01-11
1891230454 Pure Healthy Back Specialist 1500 W Big Beaver Rd Ste 150, Troy, MI 48084-3552 2017-01-05
1831563527 Sabrina L Pennington Specialist 104 Emily Ct, Troy, AL 36079-2981 2015-11-18
1992100358 Catherine Rinella Specialist 1098 Spring Avenue Ext, Troy, NY 12180-7313 2014-10-28
1518383256 Jennifer Bobersky Specialist 3 Patricia Dr, Troy, NY 12180-6132 2014-03-05
1699103796 Helen Rezey Specialist 6 Greene St, Troy, NY 12180-6720 2013-10-29
1346591641 Robin Jean Kennedy Specialist 597 Third Ave., Troy, NY 12182 2012-09-26
1770834210 Andrew Mcnally Specialist 3226 Veterans Stadium Dr, Troy, AL 36082-0001 2012-09-24
1093065609 Denise Warren Specialist 597 3rd Avenue, Troy, NY 12182 2012-09-12
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Competitor

Search similar providers

City TROY
Zip Code 12180

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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