| Gregg Modell, | |
|
366 Wade Rd, Liberty, NY 12754-2825 | |
| (845) 693-4232 | |
| Not Available |
| Full Name | Gregg Modell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 366 Wade Rd, Liberty, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588018626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006009 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Modell, 366 Wade Rd, Liberty, NY 12754-2825 Ph: (845) 693-4232 | Gregg Modell, 366 Wade Rd, Liberty, NY 12754-2825 Ph: (845) 693-4232 |
Sherry Feins-travis, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4298 | |
Ms. Lorraine A Holder, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4206 | |
Edgar Correa, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 | |
Doris M Castro, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4206 | |
Eric Dana Boles, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4298 | |
Mr. James Weiner, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Wierk Ave, Liberty, NY 12754 Phone: 845-295-4100 | |
Mr. Mark A Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-513-2110 |