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Contact Information

GENESEE STREET MEDICAL HEALTH
286 GENESEE ST STE 5
UTICA, NY13502
 Phone: 315-266-0600
 Fax: 315-266-0611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for GENESEE STREET MEDICAL HEALTH

NPI # 1184138265
LBN Legal business name GENESEE STREET MEDICAL HEALTH
Authorized official MINHAJ SIDDIQI - (OWNER/ PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2017
Last updated 08/09/2018 - About 8 years ago
Identifiers
NY License # 232467
NY Medicaid 04989199
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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