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

Upstate Pca Institute

Organization Adult Companion · NPI 1881436756

Upstate Pca Institute is an Adult Companion in Utica, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1216 Gray Ave
Utica, NY 13502-3959
Phone: (315) 542-4209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1881436756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Green — Suporvisor/Provider · (315) 542-4209
NPI enumeratedJune 11, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address1216 Gray Ave Apt 2f, Utica, NY 13502-3967