| Sanford Manor Psychology, Pc | |
|
260 Sanford St Glens Falls NY 12801-2474 | |
| (518) 792-0208 | |
| Not Available |
| Full Name | Sanford Manor Psychology, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 260 Sanford St, Glens Falls, New York |
| Authorized Official Name and Position | Margaret E. Gorthey (ADMINISTRATOR) |
| Authorized Official Contact | 5187479407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Manor Psychology, Pc 260 E. Sanford St. Sanford Manor Psychology, Pc Glens Falls NY 12801 Ph: (518) 792-0208 | Sanford Manor Psychology, Pc 260 Sanford St Glens Falls NY 12801-2474 Ph: (518) 792-0208 |
| NPI Number | 1881890226 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163608050 |
|---|---|
| Medicare Enrollment ID | O20110510000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881890226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Patricia A Henel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588722862 PECOS PAC ID: 1052597945 Enrollment ID: I20110510000493 |
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