| The Betsy Siegel Little House, Inc. | |
|
64 Pomona Rd Suffern NY 10901-1917 | |
| (845) 354-3581 | |
| (845) 362-5546 |
| Full Name | The Betsy Siegel Little House, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 64 Pomona Rd, Suffern, New York |
| Authorized Official Name and Position | Randall J Feinberg (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8453543581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Betsy Siegel Little House, Inc. 64 New Pomona Road Suffern NY 10901 Ph: (845) 354-3581 | The Betsy Siegel Little House, Inc. 64 Pomona Rd Suffern NY 10901-1917 Ph: (845) 354-3581 |
| NPI Number | 1689872038 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 09/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689872038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6361430 (New York) | Primary |
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