institution
Upstate Ketamine Care
Psychiatric/Mental Health Clinical Nurse Specialist in Rochester, New York
NPI 1710522875

Upstate Ketamine Care is a Psychiatric/Mental Health Clinical Nurse Specialist based in Rochester, NY and is specialized in Psychiatric/Mental Health. Upstate Ketamine Care practices in Rochester, NY. The NPI Number for Upstate Ketamine Care is 1710522875 and holds a License No. (New York).

The current practice location address for Upstate Ketamine Care is 3300 Monroe Ave Ste 319, Rochester, NY and can be reached out via phone at 585-673-2319. You can also correspond with Upstate Ketamine Care through the mailing address at 3300 MONROE AVE STE 319, ROCHESTER, NY - 14618-4617 (mailing address contact number: 585-673-2319).

Location: 3300 Monroe Ave Ste 319, Rochester, NY, 14618-4617
institution
Provider Profile Details
NPI Number
1710522875
Provider Name
Upstate Ketamine Care
Credential
Provider Entity Type
Organization
Address
3300 Monroe Ave Ste 319, Rochester, NY, 14618-4617
Phone Number
585-673-2319
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03426666 05 NY
institution
Provider Business Practice Location Address Details
Address
3300 Monroe Ave Ste 319
City
State
Zip
14618-4617
Phone Number
585-673-2319
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Monroe Ave Ste 319
City
State
Zip
14618-4617
Phone Number
585-673-2319
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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