Grunblatt Psychology And Counseling Offices, P.c. | |
124 Green St Kingston NY 12401-4422 | |
(845) 331-3001 | |
(845) 335-4600 |
Full Name | Grunblatt Psychology And Counseling Offices, P.c. |
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Speciality | Clinic/Center |
Location | 124 Green St, Kingston, New York |
Authorized Official Name and Position | Andrea Grunblatt (PRESIDENT) |
Authorized Official Contact | 8453313001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grunblatt Psychology And Counseling Offices, P.c. 124 Green St Kingston NY 12401-4422 Ph: (845) 331-3001 | Grunblatt Psychology And Counseling Offices, P.c. 124 Green St Kingston NY 12401-4422 Ph: (845) 331-3001 |
NPI Number | 1730325531 |
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Provider Enumeration Date | 12/29/2008 |
Last Update Date | 06/18/2014 |
Medicare PECOS PAC ID | 0143406827 |
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Medicare Enrollment ID | O20110513000188 |
Identifier | Type | State | Issuer |
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1730325531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Franc J Libihoul |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669555439 PECOS PAC ID: 3476526534 Enrollment ID: I20040817000494 |
Provider Name | Jean L Moffatt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487646303 PECOS PAC ID: 9234190851 Enrollment ID: I20041026000649 |
Provider Name | Andrea Grunblatt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629152970 PECOS PAC ID: 7618929985 Enrollment ID: I20050216000615 |
Provider Name | Nancy L Clark |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497769897 PECOS PAC ID: 7911183272 Enrollment ID: I20110520000540 |
Provider Name | Wendy L Wynberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841594629 PECOS PAC ID: 0547438830 Enrollment ID: I20110712000187 |
Provider Name | Karen R Margolin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043462310 PECOS PAC ID: 6709033079 Enrollment ID: I20120822000359 |
Provider Name | Lucas E. Monroe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487987970 PECOS PAC ID: 1052562204 Enrollment ID: I20121115000462 |
Provider Name | Lily Hung |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194089649 PECOS PAC ID: 8325293244 Enrollment ID: I20130226000640 |
Provider Name | Gladys Ramona Torres-ortiz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144408006 PECOS PAC ID: 6204099625 Enrollment ID: I20131118000158 |
Provider Name | Sherry A Tankersley |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588087043 PECOS PAC ID: 7416265624 Enrollment ID: I20151007001291 |
Provider Name | Jeanne Borromeo-otty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184000671 PECOS PAC ID: 4688981657 Enrollment ID: I20170215000418 |
Provider Name | Christine Desiree Shoop |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104272129 PECOS PAC ID: 7719313568 Enrollment ID: I20200214000902 |
Provider Name | Alexander V Drakontaidis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487000410 PECOS PAC ID: 1557787157 Enrollment ID: I20200813000732 |
Provider Name | James Matthew Tinger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487977682 PECOS PAC ID: 8921424292 Enrollment ID: I20200817003539 |
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