Ann K Dolan | |
1666 Peruville Rd Freeville NY 13068-9547 | |
(607) 316-3820 | |
Not Available |
Full Name | Ann K Dolan |
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Speciality | Social Worker |
Location | 1666 Peruville Rd, Freeville, New York |
Authorized Official Name and Position | Ann Dolan (OWNER) |
Authorized Official Contact | 6073163820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ann K Dolan 1666 Peruville Rd Freeville NY 13068-9547 Ph: (607) 316-3820 | Ann K Dolan 1666 Peruville Rd Freeville NY 13068-9547 Ph: (607) 316-3820 |
NPI Number | 1811599566 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Medicare PECOS PAC ID | 0345658175 |
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Medicare Enrollment ID | O20210416000299 |
Identifier | Type | State | Issuer |
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1811599566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ann K Dolan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336300722 PECOS PAC ID: 5496991473 Enrollment ID: I20130417000492 |
New Hope Counseling Services Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Mineah Rd, Freeville, NY 13068 Phone: 607-592-8569 |