| Summit Alternatives Lmsw PC | |
|
215 North Cayuga Street 2nd Floor Business Complex Ithaca NY 14850 | |
| (607) 882-3131 | |
| Not Available |
| Full Name | Summit Alternatives Lmsw PC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 North Cayuga Street, Ithaca, New York |
| Authorized Official Name and Position | Michael David Sullivan (PRESIDENT) |
| Authorized Official Contact | 6078823131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Alternatives Lmsw PC 215 North Cayuga Street 2nd Floor Business Complex Ithaca NY 14850 | Summit Alternatives Lmsw PC 215 North Cayuga Street 2nd Floor Business Complex Ithaca NY 14850 Ph: (607) 882-3131 |
| NPI Number | 1457959843 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457959843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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