Southgate Marriage & Family Therapy, Pllc | |
101 State St # 202 Schenectady NY 12305-1707 | |
(518) 952-9290 | |
Not Available |
Full Name | Southgate Marriage & Family Therapy, Pllc |
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Speciality | Marriage & Family Therapist |
Location | 101 State St # 202, Schenectady, New York |
Authorized Official Name and Position | Steven Dimarzo (COMPLIANCE OFFICER) |
Authorized Official Contact | 5185161080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southgate Marriage & Family Therapy, Pllc Po Box 6370 Albany NY 12206-0370 Ph: () - | Southgate Marriage & Family Therapy, Pllc 101 State St # 202 Schenectady NY 12305-1707 Ph: (518) 952-9290 |
NPI Number | 1457180499 |
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Provider Enumeration Date | 07/29/2024 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457180499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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