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113 Park Pl Schoharie NY 12157-5211 | |
| (518) 295-8336 | |
| (518) 295-8724 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 113 Park Pl, Schoharie, New York |
| Authorized Official Name and Position | Erika L Yeomans (STAFF SOCIAL WROKER) |
| Authorized Official Contact | 5182958336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
113 Park Pl Schoharie NY 12157-5211 Ph: (518) 295-8336 | 113 Park Pl Schoharie NY 12157-5211 Ph: (518) 295-8336 |
| NPI Number | 1750768644 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750768644 | NPI | - | NPPES |
| 03004280 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 088540-1 (New York) | Primary |