Provider Demographics
NPI:1316569569
Name:FLOWER CITY PSYCHIATRY
Entity Type:Organization
Organization Name:FLOWER CITY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORDANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-445-8789
Mailing Address - Street 1:140 ALLENS CREEK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3307
Mailing Address - Country:US
Mailing Address - Phone:585-445-8789
Mailing Address - Fax:585-445-8432
Practice Address - Street 1:140 ALLENS CREEK RD STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3307
Practice Address - Country:US
Practice Address - Phone:585-445-8789
Practice Address - Fax:585-445-8432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04521266Medicaid