| Reversing Falls Llc | |
|
1 Fairchild Pl Monticello NY 12701-2005 | |
| (845) 794-3492 | |
| (845) 794-3494 |
| Full Name | Reversing Falls Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Fairchild Pl, Monticello, New York |
| Authorized Official Name and Position | Wendy Taliafero (CEO AND MANAGER) |
| Authorized Official Contact | 8457943492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reversing Falls Llc 1 Fairchild Pl Monticello NY 12701-2005 Ph: (845) 794-3492 | Reversing Falls Llc 1 Fairchild Pl Monticello NY 12701-2005 Ph: (845) 794-3492 |
| NPI Number | 1679817738 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679817738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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