| Senior Connections Psychological Services Of New York, Pc | |
|
256 Sunset Lake Rd Liberty NY 12754-2847 | |
| (832) 448-2800 | |
| (832) 448-2801 |
| Full Name | Senior Connections Psychological Services Of New York, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 256 Sunset Lake Rd, Liberty, New York |
| Authorized Official Name and Position | Stephen A Daniel (OWNER) |
| Authorized Official Contact | 8324482830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Connections Psychological Services Of New York, Pc 12012 Wickchester Ln Suite 550 Houston TX 77079-1229 Ph: (832) 448-2800 | Senior Connections Psychological Services Of New York, Pc 256 Sunset Lake Rd Liberty NY 12754-2847 Ph: (832) 448-2800 |
| NPI Number | 1033382601 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033382601 | NPI | - | NPPES |
| 02668179 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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