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46 Colonial Ave Suite A Albany NY 12203-2012 | |
| (518) 322-8058 | |
| (518) 935-9599 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 46 Colonial Ave, Albany, New York |
| Authorized Official Name and Position | Cheryl Anne Frye (DIRECTOR) |
| Authorized Official Contact | 5183228058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
46 Colonial Ave Suite A Albany NY 12203-2012 Ph: (518) 322-8058 | 46 Colonial Ave Suite A Albany NY 12203-2012 Ph: (518) 322-8058 |
| NPI Number | 1114385432 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 021525 (New York) | Primary |
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