| Alchemy Of Aging, Leslie K Malin, Lcsw Pc | |
|
17 Valley St Saugerties NY 12477-1829 | |
| (845) 706-3114 | |
| Not Available |
| Full Name | Alchemy Of Aging, Leslie K Malin, Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Valley St, Saugerties, New York |
| Authorized Official Name and Position | Leslie Karen Malin (PRESIDENT) |
| Authorized Official Contact | 8457063114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alchemy Of Aging, Leslie K Malin, Lcsw Pc 17 Valley Street Saugerties NY 12477-1829 Ph: (845) 706-3114 | Alchemy Of Aging, Leslie K Malin, Lcsw Pc 17 Valley St Saugerties NY 12477-1829 Ph: (845) 706-3114 |
| NPI Number | 1093047045 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 02/02/2010 |
| Medicare PECOS PAC ID | 8628103405 |
|---|---|
| Medicare Enrollment ID | O20100318000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093047045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 021282-1 (New York) | Primary |
| Provider Name | Leslie K Malin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154500288 PECOS PAC ID: 4880775436 Enrollment ID: I20080122000014 |
Brainwise Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2286 Route 32 Apt B, Saugerties, NY 12477 Phone: 518-857-7313 |