| Eastsidecounselingservices | |
|
216 Pelham Rd Syracuse NY 13214-1621 | |
| (215) 606-8654 | |
| Not Available |
| Full Name | Eastsidecounselingservices |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 216 Pelham Rd, Syracuse, New York |
| Authorized Official Name and Position | Margaret West Kelly (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2156068654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastsidecounselingservices 216 Pelham Rd Syracuse NY 13214-1621 Ph: (215) 606-8654 | Eastsidecounselingservices 216 Pelham Rd Syracuse NY 13214-1621 Ph: (215) 606-8654 |
| NPI Number | 1982070520 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982070520 | NPI | - | NPPES |
| 1538446703 | Other | NY | PRIVATE INSURANCE |
| 1235220401 | Other | NY | PRIVATE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R018157-1 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | 077677-1 (New York) | Secondary |
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