St Lawrence County Community Services | |
80 State Highway 310 Ste 1 Canton NY 13617-1436 | |
(315) 386-2167 | |
(315) 386-2435 |
Full Name | St Lawrence County Community Services |
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Speciality | Community/Behavioral Health |
Location | 80 State Highway 310 Ste 1, Canton, New York |
Authorized Official Name and Position | Jay M Ulrich (DIRECTOR) |
Authorized Official Contact | 3153863562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Lawrence County Community Services 80 State Highway 310 Suite 1 Canton NY 13617-1493 Ph: (315) 386-2167 | St Lawrence County Community Services 80 State Highway 310 Ste 1 Canton NY 13617-1436 Ph: (315) 386-2167 |
NPI Number | 1699898635 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 01/06/2023 |
Certification Date | 01/06/2023 |
Medicare PECOS PAC ID | 9436249224 |
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Medicare Enrollment ID | O20071217000660 |
Identifier | Type | State | Issuer |
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1699898635 | NPI | - | NPPES |
00655803 | Medicaid | NY |
Provider Name | Patricia A Pielnik |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043304645 PECOS PAC ID: 8729014451 Enrollment ID: I20050714000427 |
Provider Name | Edward P Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316311699 PECOS PAC ID: 6002113859 Enrollment ID: I20170720001060 |
Provider Name | Sharon A Novak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629737051 PECOS PAC ID: 6406249572 Enrollment ID: I20220214000967 |
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Personal Journeys Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Judson Street Rd, Personal Journeys Counseling, Canton, NY 13617 Phone: 315-854-0441 | |
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