| Hollyhock Psychological Services | |
|
423 Kenwood Ave Delmar NY 12054-1805 | |
| (518) 573-9858 | |
| Not Available |
| Full Name | Hollyhock Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 423 Kenwood Ave, Delmar, New York |
| Authorized Official Name and Position | Eloise Marie Potenza (OWNER) |
| Authorized Official Contact | 5185739858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollyhock Psychological Services 11 Peel St Selkirk NY 12158-9734 Ph: (518) 573-9858 | Hollyhock Psychological Services 423 Kenwood Ave Delmar NY 12054-1805 Ph: (518) 573-9858 |
| NPI Number | 1487084711 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487084711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 016484 (New York) | Primary |
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