Full Name | |
---|---|
Speciality | Social Worker - Clinical |
Location | 41 Main St, Big Flats, New York |
Authorized Official Name and Position | Patrick H. Mitchell (OWNER) |
Authorized Official Contact | 6075627380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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41 Main St Big Flats NY 14814-8923 Ph: (607) 562-7380 | 41 Main St Big Flats NY 14814-8923 Ph: (607) 562-7380 |
NPI Number | 1033164314 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033164314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R-045351 (New York) | Primary |