| Kiranjit K. Longaker, Mental Health Counselor, Pllc | |
|
401 E State St Ste 400 Ithaca NY 14850-4400 | |
| (607) 592-6539 | |
| Not Available |
| Full Name | Kiranjit K. Longaker, Mental Health Counselor, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 E State St Ste 400, Ithaca, New York |
| Authorized Official Name and Position | Kiranjit K Longaker (OWNER) |
| Authorized Official Contact | 6075926539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiranjit K. Longaker, Mental Health Counselor, Pllc 112 Treva Ave Ithaca NY 14850-6138 Ph: (607) 592-6539 | Kiranjit K. Longaker, Mental Health Counselor, Pllc 401 E State St Ste 400 Ithaca NY 14850-4400 Ph: (607) 592-6539 |
| NPI Number | 1639545437 |
|---|---|
| Provider Enumeration Date | 08/15/2015 |
| Last Update Date | 10/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639545437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 006416 (New York) | Primary |
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