| Affiliated Psychological Services | |
|
623 New Loudon Rd Latham NY 12110-4031 | |
| (518) 783-1051 | |
| (518) 783-1051 |
| Full Name | Affiliated Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 623 New Loudon Rd, Latham, New York |
| Authorized Official Name and Position | Marvin J Fine (DIRECTOR) |
| Authorized Official Contact | 5187831051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Psychological Services 70 Nott Road Rexford NY 12148 Ph: (518) 783-1051 | Affiliated Psychological Services 623 New Loudon Rd Latham NY 12110-4031 Ph: (518) 783-1051 |
| NPI Number | 1336337781 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336337781 | NPI | - | NPPES |
| 01698604 | Medicaid | NY | |
| 01587604 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 010014-1 (New York) | Primary |
Kimberly A. Hostig Licensed Clinical Social Worker Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Stanley Cir Ste 11, Latham, NY 12110 Phone: 518-222-6752 Fax: 518-786-0917 | |
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