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1740 Western Avenue Suite 100 Albany NY 12203-4414 | |
(518) 464-5060 | |
(518) 464-5023 |
Full Name | |
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Speciality | Clinical Neuropsychologist |
Location | 1740 Western Avenue, Albany, New York |
Authorized Official Name and Position | Robert John Mccaffrey (PRESIDENT) |
Authorized Official Contact | 5184645060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1740 Western Avenue Suite 100 Guilderland NY 12084-1522 Ph: (518) 464-5060 | 1740 Western Avenue Suite 100 Albany NY 12203-4414 Ph: (518) 464-5060 |
NPI Number | 1194766873 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 07/15/2013 |
Medicare PECOS PAC ID | 7214949809 |
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Medicare Enrollment ID | O20060623000075 |
Identifier | Type | State | Issuer |
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1194766873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Julie K Lynch |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467495762 PECOS PAC ID: 8628010972 Enrollment ID: I20060705000106 |
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