| Neuropsychologic Rehabilitation Services Pc | |
|
300 Washington Ave. Ext. Albany NY 12203 | |
| (518) 392-7314 | |
| (518) 862-2175 |
| Full Name | Neuropsychologic Rehabilitation Services Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 300 Washington Ave. Ext., Albany, New York |
| Authorized Official Name and Position | Kari Powell (OFFICE MANAGER) |
| Authorized Official Contact | 5183927314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychologic Rehabilitation Services Pc 300 Washington Ave. Ext. Albany NY 12037-7303 Ph: (518) 392-7314 | Neuropsychologic Rehabilitation Services Pc 300 Washington Ave. Ext. Albany NY 12203 Ph: (518) 392-7314 |
| NPI Number | 1740206010 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740206010 | NPI | - | NPPES |
| 5096818 | Other | NY | WORKERS COMP |
| 01416751 | Medicaid | NY | |
| 01416760 | Medicaid | NY | |
| 01905259 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 011531 (New York) | Primary |
| 103G00000X | Clinical Neuropsychologist | 0096811 (New York) | Secondary |
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