MOHAWK VALLEY PSYCHIATRIC CENTER
Assisted Living, Mental Illness
Utica, New York
Provider NPI: 1861559080
Organization Information:Organization Name: MOHAWK VALLEY PSYCHIATRIC CENTER
Practice Location:
1400 NOYES ST UTICA, NY 13502 US
Tel: 315-797-6800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1400 NOYES ST UTICA, NY 13502 US
Tel: 315-797-6800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | NY |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01402437 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin