| Michael Cochran | |
|
96 Clinton Ave Apt 2 Saranac Lake NY 12983-2066 | |
| (518) 524-4955 | |
| Not Available |
| Full Name | Michael Cochran |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 96 Clinton Ave Apt 2, Saranac Lake, New York |
| Authorized Official Name and Position | Michael Cochran (DIRECTOR) |
| Authorized Official Contact | 5185244955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cochran 96 Clinton Ave Apt 2 Saranac Lake NY 12983-2066 Ph: (518) 524-4955 | Michael Cochran 96 Clinton Ave Apt 2 Saranac Lake NY 12983-2066 Ph: (518) 524-4955 |
| NPI Number | 1962610097 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962610097 | NPI | - | NPPES |
| 01783742 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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