| Behavioral Health Unit | |
|
19 Laurel Ave St Luke's Cornwall Hospital, Finance Dept Cornwall NY 12518-1403 | |
| (845) 458-4023 | |
| (845) 458-4040 |
| Full Name | Behavioral Health Unit |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 19 Laurel Ave, Cornwall, New York |
| Authorized Official Name and Position | Jill G Barton (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 8454584023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Unit 19 Laurel Ave St Luke's Cornwall Hospital, Finance Dept Cornwall NY 12518-1403 Ph: (845) 458-4023 | Behavioral Health Unit 19 Laurel Ave St Luke's Cornwall Hospital, Finance Dept Cornwall NY 12518-1403 Ph: (845) 458-4023 |
| NPI Number | 1124118104 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124118104 | NPI | - | NPPES |
| 02915662 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (NU) | Primary |
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