| Push4purpose | |
|
1308 Cumberland Ave Syracuse NY 13210-3417 | |
| (617) 990-7422 | |
| Not Available |
| Full Name | Push4purpose |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1308 Cumberland Ave, Syracuse, New York |
| Authorized Official Name and Position | Duquinha Thompson (MENTAL HEALTH PROVIDER) |
| Authorized Official Contact | 6179907422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Push4purpose 1308 Cumberland Ave Syracuse NY 13210-3417 Ph: (617) 990-7422 | Push4purpose 1308 Cumberland Ave Syracuse NY 13210-3417 Ph: (617) 990-7422 |
| NPI Number | 1750252151 |
|---|---|
| Provider Enumeration Date | 09/17/2025 |
| Last Update Date | 09/17/2025 |
| Certification Date | 09/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750252151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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