Stephen Yale Lande, LMSW, CASAC | |
11-21 Broadway St, Gloversville, NY 12078-3968 | |
(518) 725-4310 | |
(518) 725-2556 |
Full Name | Stephen Yale Lande |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 11-21 Broadway St, Gloversville, 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 |
---|---|---|---|
1477909737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 096918 (New York) | Primary |
Entity Name | Puerto Rican Family Institute, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609980762 PECOS PAC ID: 7517855042 Enrollment ID: O20040308000344 |
Mailing Address | Practice Location Address |
---|---|
Stephen Yale Lande, LMSW, CASAC 11-21 Broadway St, Gloversville, NY 12078-3968 Ph: (518) 725-4310 | Stephen Yale Lande, LMSW, CASAC 11-21 Broadway St, Gloversville, NY 12078-3968 Ph: (518) 725-4310 |
Brittany Hennessey, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 Fax: 518-725-2556 | |
Randee Joy Mcardle, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
Brieanne Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
Elisa Yeonhee Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
Mrs. Jacqueline Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
Mr. Dunhill Joshua A Bollon, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
Katie Broadwell, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 |