| Pinnacle Behavioral Health, Ipa, Llc | |
|
10 Mckown Rd Ste 102 Albany NY 12203-3496 | |
| (518) 869-0214 | |
| (518) 689-0214 |
| Full Name | Pinnacle Behavioral Health, Ipa, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 Mckown Rd Ste 102, Albany, New York |
| Authorized Official Name and Position | Joseph Steven Ippolito (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5186890244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Behavioral Health, Ipa, Llc 10 Mckown Rd Ste 102 Albany NY 12203-3496 Ph: (518) 869-0214 | Pinnacle Behavioral Health, Ipa, Llc 10 Mckown Rd Ste 102 Albany NY 12203-3496 Ph: (518) 869-0214 |
| NPI Number | 1720490949 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720490949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R052311-1 (New York) | Primary |
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