| New Horizons Of The Genesee Valley, Inc. | |
|
3 Episcopal Ave Honeoye Falls NY 14472-6900 | |
| (585) 624-1350 | |
| (585) 624-9181 |
| Full Name | New Horizons Of The Genesee Valley, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3 Episcopal Ave, Honeoye Falls, New York |
| Authorized Official Name and Position | Mark Allen Spezzano (OWNER) |
| Authorized Official Contact | 5856241350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Of The Genesee Valley, Inc. 3 Episcopal Ave Honeoye Falls NY 14472-6900 Ph: (585) 624-1350 | New Horizons Of The Genesee Valley, Inc. 3 Episcopal Ave Honeoye Falls NY 14472-6900 Ph: (585) 624-1350 |
| NPI Number | 1609835578 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 2668873233 |
|---|---|
| Medicare Enrollment ID | O20210702001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609835578 | NPI | - | NPPES |
| 7215572 | Other | NY | AETNA |
| RC80042892 | Other | NY | RCIPA |
| P010042892 | Other | NY | EXCELLUS |
| 118121FK | Other | NY | PREFERRED CARE |
| 5508792 | Other | NY | CCN |
| 2177484 | Other | NY | 1ST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R042892-1 (New York) | Primary |
| Provider Name | Mark Allen Spezzano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235159997 PECOS PAC ID: 4486055050 Enrollment ID: I20210702001663 |