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113 Park Place Suite 1 Schoharie NY 12157 | |
| (518) 295-2031 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 113 Park Place, Schoharie, New York |
| Authorized Official Name and Position | Joseph M Patterson (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 5182958407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
113 Park Place Suite 1 Schoharie NY 12157 Ph: (518) 295-2031 | 113 Park Place Suite 1 Schoharie NY 12157 Ph: (518) 295-2031 |
| NPI Number | 1386739944 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386739944 | NPI | - | NPPES |
| 00555784 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |