| |
6339 Mill St Rhinebeck NY 12572-1427 | |
(845) 871-1000 | |
(845) 876-2020 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 6339 Mill St, Rhinebeck, New York |
Authorized Official Name and Position | Yvette Bairan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8458711001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6339 Mill St Rhinebeck NY 12572-1427 Ph: (845) 871-1000 | 6339 Mill St Rhinebeck NY 12572-1427 Ph: (845) 871-1000 |
NPI Number | 1225009806 |
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Provider Enumeration Date | 01/31/2006 |
Last Update Date | 02/18/2021 |
Certification Date | 02/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225009806 | NPI | - | NPPES |
00542567 | Medicaid | NY |
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