OrganizationActive
Upstate Ketamine Care
NPI 1710522875 · Psychiatric/Mental Health Clinical Nurse Specialist · Rochester, NY
Provider details
- NPI number
- 1710522875
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Leathersich, Practice Administrator(585) 673-2319
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3300 Monroe Ave Ste 319
Rochester, NY 14618-4617
Phone: (585) 673-2319
Approximate (ZIP-level) locationGet directions
Mailing address
3300 Monroe Ave Ste 319
Rochester, NY 14618-4617
Registry dates
- Enumerated
- 2019-11-13
- Last updated
- 2019-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.