| Wildwood Programs, Inc. | |
|
1190 Troy Schenectady Rd Latham NY 12110-1026 | |
| (518) 783-3421 | |
| (518) 785-9670 |
| Full Name | Wildwood Programs, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1190 Troy Schenectady Rd, Latham, New York |
| Authorized Official Name and Position | Gary R. Milford (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5183566410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Programs, Inc. 2995b Curry Road Extension Schenectady NY 12303 Ph: (518) 356-6410 | Wildwood Programs, Inc. 1190 Troy Schenectady Rd Latham NY 12110-1026 Ph: (518) 783-3421 |
| NPI Number | 1407041502 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407041502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 013600 (New York) | Primary |
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