Matthew Kelly, | |
335 W 1st St, Oswego, NY 13126-3689 | |
(315) 343-3344 | |
Not Available |
Full Name | Matthew Kelly |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 335 W 1st St, Oswego, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033588678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Bright Path Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316046113 PECOS PAC ID: 3577537885 Enrollment ID: O20040823001122 |
Mailing Address | Practice Location Address |
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Matthew Kelly, 335 W 1st St, Oswego, NY 13126-3689 Ph: () - | Matthew Kelly, 335 W 1st St, Oswego, NY 13126-3689 Ph: (315) 343-3344 |
Alyssa Jean Grove, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 W Cayuga St, Oswego, NY 13126 Phone: 315-342-9255 | |
Mrs. Dawn Renee Metott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 5th Ave, Oswego, NY 13126 Phone: 315-342-7532 Fax: 315-342-7554 | |
Hannah Alton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 W Cayuga St, Oswego, NY 13126 Phone: 315-342-9255 | |
Brianna J Gillette, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 E 1st St, Oswego, NY 13126 Phone: 315-343-3344 | |
Mrs. Enearay St Louis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 W 2nd St Ste 1, Oswego, NY 13126 Phone: 315-342-4489 | |
Mrs. Mary Beth D'amico, MS LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 West Cayuga St, Integrative Services Inc., Oswego, NY 13126 Phone: 315-342-9255 |