| Bright Path Center, Inc. | |
|
7266 Buckley Rd North Syracuse NY 13212-2649 | |
| (315) 458-0919 | |
| (315) 458-0954 |
| Full Name | Bright Path Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 7266 Buckley Rd, North Syracuse, New York |
| Authorized Official Name and Position | Lori L Collins (OFFICE MANAGER) |
| Authorized Official Contact | 3154580919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Path Center, Inc. 7266 Buckley Rd North Syracuse NY 13212-2649 Ph: (315) 458-0919 | Bright Path Center, Inc. 7266 Buckley Rd North Syracuse NY 13212-2649 Ph: (315) 458-0919 |
| NPI Number | 1316046113 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 3577537885 |
|---|---|
| Medicare Enrollment ID | O20040823001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316046113 | NPI | - | NPPES |
| 01663703 | Medicaid | NY |
| Provider Name | Irene T Sack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457373680 PECOS PAC ID: 5799764585 Enrollment ID: I20040715000782 |
| Provider Name | Enrique A Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053467753 PECOS PAC ID: 5799854410 Enrollment ID: I20080521000576 |
| Provider Name | Linda M Sugar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609802263 PECOS PAC ID: 4688743214 Enrollment ID: I20080521000768 |
| Provider Name | Caroline Rouen Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417983081 PECOS PAC ID: 4284766403 Enrollment ID: I20100722000895 |
| Provider Name | Christine E Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750670907 PECOS PAC ID: 8426200502 Enrollment ID: I20121219000179 |
| Provider Name | Dina N Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801107149 PECOS PAC ID: 7517196801 Enrollment ID: I20140207001169 |
| Provider Name | Sharon Delconte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740216209 PECOS PAC ID: 0749254050 Enrollment ID: I20151201002827 |
| Provider Name | Jason Keicher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245329838 PECOS PAC ID: 6103187265 Enrollment ID: I20180306001405 |
| Provider Name | Jennifer A Crider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891316964 PECOS PAC ID: 9830504869 Enrollment ID: I20210224001942 |
| Provider Name | Cathleen E Shea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134970817 PECOS PAC ID: 8022554534 Enrollment ID: I20240720000145 |
| Provider Name | Matthew R Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033588678 PECOS PAC ID: 7315484169 Enrollment ID: I20240730001374 |
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