| Blair Counseling Services | |
|
2112 Erie Blvd E Syracuse NY 13224-1041 | |
| (315) 813-7062 | |
| (315) 813-7067 |
| Full Name | Blair Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 2112 Erie Blvd E, Syracuse, New York |
| Authorized Official Name and Position | David Allen Blair (OWNER) |
| Authorized Official Contact | 3158137062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Counseling Services 2112 Erie Blvd E Syracuse NY 13224-1041 Ph: (315) 813-7062 | Blair Counseling Services 2112 Erie Blvd E Syracuse NY 13224-1041 Ph: (315) 813-7062 |
| NPI Number | 1275251217 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 5799158051 |
|---|---|
| Medicare Enrollment ID | O20230307002214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275251217 | NPI | - | NPPES |
| 5193719565 | Other | PECOS I.D. | |
| 22267 | Other | NY | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann M Wahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467561035 PECOS PAC ID: 9335236876 Enrollment ID: I20071031000468 |
| Provider Name | Felicie Meling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023111366 PECOS PAC ID: 5799967543 Enrollment ID: I20110315000799 |
| Provider Name | Mark E Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598891442 PECOS PAC ID: 1658541867 Enrollment ID: I20110825000647 |
| Provider Name | David S Gandino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851568208 PECOS PAC ID: 2163790676 Enrollment ID: I20170623001512 |
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