Dynamic Intervention, Llc | |
3 Market St Wappingers Falls NY 12590-2301 | |
(845) 702-1042 | |
(845) 709-8434 |
Full Name | Dynamic Intervention, Llc |
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Speciality | Social Worker - Clinical |
Location | 3 Market St, Wappingers Falls, New York |
Authorized Official Name and Position | Jacqueline B Muller (OWNER) |
Authorized Official Contact | 8457021042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynamic Intervention, Llc 3 Market St Wappingers Falls NY 12590-2301 Ph: (845) 702-1042 | Dynamic Intervention, Llc 3 Market St Wappingers Falls NY 12590-2301 Ph: (845) 702-1042 |
NPI Number | 1942793252 |
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Provider Enumeration Date | 06/11/2018 |
Last Update Date | 08/09/2023 |
Certification Date | 08/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942793252 | NPI | - | NPPES |
02869556 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R056489 (New York) | Primary |
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