Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Upstate Ketamine Care

Organization Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1710522875

Upstate Ketamine Care is a Psychiatric/Mental Health Clinical Nurse Specialist in Rochester, New York. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

3300 Monroe Ave Ste 319
Rochester, NY 14618-4617
Phone: (585) 673-2319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X

Record details

NPI number1710522875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Leathersich — Practice Administrator · (585) 673-2319
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 13, 2019
Mailing address3300 Monroe Ave Ste 319, Rochester, NY 14618-4617

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