| Ann K Dolan | |
|
1666 Peruville Rd Freeville NY 13068-9547 | |
| (607) 316-3820 | |
| Not Available |
| Full Name | Ann K Dolan |
|---|---|
| Speciality | Social Worker |
| Location | 1666 Peruville Rd, Freeville, New York |
| Authorized Official Name and Position | Ann Dolan (OWNER) |
| Authorized Official Contact | 6073163820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann K Dolan 1666 Peruville Rd Freeville NY 13068-9547 Ph: (607) 316-3820 | Ann K Dolan 1666 Peruville Rd Freeville NY 13068-9547 Ph: (607) 316-3820 |
| NPI Number | 1811599566 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 0345658175 |
|---|---|
| Medicare Enrollment ID | O20210416000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811599566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann K Dolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336300722 PECOS PAC ID: 5496991473 Enrollment ID: I20130417000492 |
New Hope Counseling Services Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Mineah Rd, Freeville, NY 13068 Phone: 607-592-8569 |