| Linden Oaks Sexual Abuse Treatment Services | |
|
100 Linden Oaks Ste 200 Rochester NY 14625-2831 | |
| (585) 586-6840 | |
| (585) 586-7951 |
| Full Name | Linden Oaks Sexual Abuse Treatment Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Linden Oaks Ste 200, Rochester, New York |
| Authorized Official Name and Position | Emanuel R Petracca (GENERAL PARTNER) |
| Authorized Official Contact | 5855866840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linden Oaks Sexual Abuse Treatment Services 100 Linden Oaks Ste 200 Rochester NY 14625-2831 Ph: (585) 586-6840 | Linden Oaks Sexual Abuse Treatment Services 100 Linden Oaks Ste 200 Rochester NY 14625-2831 Ph: (585) 586-6840 |
| NPI Number | 1013421080 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013421080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
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