| Bobbi Petranchuk | |
|
11050 Mt Belvedere Blvd Rm 1113 Fort Drum NY 13602-2603 | |
| (315) 772-2151 | |
| Not Available |
| Full Name | Bobbi Petranchuk |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11050 Mt Belvedere Blvd Rm 1113, Fort Drum, New York |
| Authorized Official Name and Position | Bobbi Petranchuk (SOCIAL WORKER) |
| Authorized Official Contact | 3157722151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi Petranchuk 11050 Mt Belvedere Blvd Rm 1113 Fort Drum NY 13602-2603 Ph: (315) 772-2151 | Bobbi Petranchuk 11050 Mt Belvedere Blvd Rm 1113 Fort Drum NY 13602-2603 Ph: (315) 772-2151 |
| NPI Number | 1083356489 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083356489 | NPI | - | NPPES |
| 00354316 | Medicaid | NY |
Mills Pro Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 94210 Holdenbury Dr Unit B, Fort Drum, NY 13603 Phone: 580-373-2820 Fax: 580-547-5242 |