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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

NPI # 1740728013
LBN Legal business name UPSTATE PHYSICIAN SERVICES, PC
Authorized official MUSTAFAIN MEGHANI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 years ago
Identifiers
NY License # 171212063
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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