| Senior Connections Psychological Se | |
|
270 Riverside Dr. #201 Johnson City NY 13790 | |
| (845) 781-6061 | |
| (607) 729-0757 |
| Full Name | Senior Connections Psychological Se |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 270 Riverside Dr., Johnson City, New York |
| Authorized Official Name and Position | Stephen Allen Daniel (OWNER) |
| Authorized Official Contact | 8457816061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Connections Psychological Se P.o. Box 130926 Spring TX 77393-0926 Ph: (281) 292-1897 | Senior Connections Psychological Se 270 Riverside Dr. #201 Johnson City NY 13790 Ph: (845) 781-6061 |
| NPI Number | 1265482491 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265482491 | NPI | - | NPPES |
| 02668179 | Medicaid | NY | |
| DD5776 | Other | NY | RAILROAD MEDICARE |
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