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Contact Information

UPSTATE PHYSICIAN SERVICES, PC
2001 5TH AVENUE
SUITE 110
TROY, NY12180
 Phone: 518-687-1960
 Fax: 518-687-1970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for UPSTATE PHYSICIAN SERVICES PC · (Female)

NPI # 1740728013
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 171212063
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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