Psychiatry Services Of New York Pc | |
3300 James St Ste 100 Syracuse NY 13206-2392 | |
(315) 422-0300 | |
Not Available |
Full Name | Psychiatry Services Of New York Pc |
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Speciality | Psychologist |
Location | 3300 James St Ste 100, Syracuse, New York |
Authorized Official Name and Position | Amanda Stacey Bronson (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9782223121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatry Services Of New York Pc 9900 Bren Rd E Minnetonka MN 55343-9664 Ph: (952) 246-4564 | Psychiatry Services Of New York Pc 3300 James St Ste 100 Syracuse NY 13206-2392 Ph: (315) 422-0300 |
NPI Number | 1013781871 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/14/2023 |
Certification Date | 11/14/2023 |
Medicare PECOS PAC ID | 9133534340 |
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Medicare Enrollment ID | O20210222001872 |
Identifier | Type | State | Issuer |
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1013781871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Barbara B Meyer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710061619 PECOS PAC ID: 8022908680 Enrollment ID: I20040317000981 |
Provider Name | Margaret D Schultz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720162670 PECOS PAC ID: 0446222095 Enrollment ID: I20040812000832 |
Provider Name | Kristen G Rea |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730263674 PECOS PAC ID: 2769455849 Enrollment ID: I20040817000636 |
Provider Name | John F Harkulich |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881755312 PECOS PAC ID: 8527091867 Enrollment ID: I20050920000731 |
Provider Name | Mary E Bartek |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235177783 PECOS PAC ID: 8325069842 Enrollment ID: I20051213000276 |
Provider Name | Cynthia J Ackles |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972612893 PECOS PAC ID: 4688695976 Enrollment ID: I20051214000630 |
Provider Name | Mark A Ginsberg |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164532271 PECOS PAC ID: 9931278363 Enrollment ID: I20080527000337 |
Provider Name | Debra S Delvecchio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215103890 PECOS PAC ID: 5799850020 Enrollment ID: I20080820000450 |
Provider Name | David A Cannucciari |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063746261 PECOS PAC ID: 9335288539 Enrollment ID: I20091201000537 |
Provider Name | Mark E Nowakowski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598891442 PECOS PAC ID: 1658541867 Enrollment ID: I20110825000647 |
Provider Name | Lisa E Mcdermott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396829297 PECOS PAC ID: 7719159524 Enrollment ID: I20111019000891 |
Provider Name | Panayotis L Petrou |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144304072 PECOS PAC ID: 1153593967 Enrollment ID: I20111019000921 |
Provider Name | Sara J Paolini |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114202298 PECOS PAC ID: 3971762881 Enrollment ID: I20120313000625 |
Provider Name | Joel R Morse |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306981212 PECOS PAC ID: 5799938718 Enrollment ID: I20121226000251 |
Provider Name | Gregg M Engel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932350279 PECOS PAC ID: 4284797812 Enrollment ID: I20140203000078 |
Provider Name | Shannon K Birmingham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336428259 PECOS PAC ID: 5395961668 Enrollment ID: I20140722001646 |
Provider Name | Annette C King |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982094926 PECOS PAC ID: 8820307408 Enrollment ID: I20151021002709 |
Provider Name | Marianne S Hunter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538367826 PECOS PAC ID: 7012215536 Enrollment ID: I20160418001372 |
Provider Name | Kelly H Nichols |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649640764 PECOS PAC ID: 8426339482 Enrollment ID: I20170105001080 |
Provider Name | Bridget J Quinn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831431196 PECOS PAC ID: 0547542235 Enrollment ID: I20170112001208 |
Provider Name | Laurie Beth Conover |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225442874 PECOS PAC ID: 5597024489 Enrollment ID: I20180123001055 |
Provider Name | Darcey J Simmons |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972834208 PECOS PAC ID: 2567701261 Enrollment ID: I20190225000826 |
Provider Name | Jane E Higham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164796652 PECOS PAC ID: 9830430370 Enrollment ID: I20190409003285 |
Provider Name | Catherine Amory |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962675629 PECOS PAC ID: 5991136988 Enrollment ID: I20200506002702 |
Provider Name | Karen Stocker Laquidari |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477174373 PECOS PAC ID: 5395166532 Enrollment ID: I20200526002888 |
Provider Name | Suzanne A O'connor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841898178 PECOS PAC ID: 7618137480 Enrollment ID: I20210218001550 |
Provider Name | Elisabeth L Holbein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053858043 PECOS PAC ID: 6507272903 Enrollment ID: I20210310000686 |
Provider Name | Jennifer S Pugh |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851960918 PECOS PAC ID: 9032502596 Enrollment ID: I20220204000043 |
Provider Name | Sarah Personius |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487011300 PECOS PAC ID: 9436517406 Enrollment ID: I20230623000169 |
Provider Name | Heather R Nower |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114092319 PECOS PAC ID: 8729447156 Enrollment ID: I20230703002822 |
Provider Name | Dayanara Vazquez Comas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194419622 PECOS PAC ID: 8426418229 Enrollment ID: I20230712000574 |
Provider Name | Catherine B Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588840037 PECOS PAC ID: 4880011501 Enrollment ID: I20230804003096 |
Provider Name | Andrea Elizabeth Keefe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720643901 PECOS PAC ID: 6305389628 Enrollment ID: I20240614002663 |
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