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145 Route 22 201 Pawling NY 12564-3214 | |
(845) 372-2868 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 145 Route 22, Pawling, New York |
Authorized Official Name and Position | Linda Bacino (PRESIDENT) |
Authorized Official Contact | 8452142705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 287 Lagrangeville NY 12540-0287 Ph: () - | 145 Route 22 201 Pawling NY 12564-3214 Ph: (845) 372-2868 |
NPI Number | 1225496045 |
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Provider Enumeration Date | 02/08/2016 |
Last Update Date | 02/27/2019 |
Identifier | Type | State | Issuer |
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1225496045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 075438 (New York) | Primary |