| Tara | |
|
801 Bedford Rd Schenectady NY 12308-3407 | |
| (518) 395-9187 | |
| (518) 346-0292 |
| Full Name | Tara |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 801 Bedford Rd, Schenectady, New York |
| Authorized Official Name and Position | Rosemarie Dorothea Amendolia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5183959187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara 801 Bedford Rd Schenectady NY 12308-3407 Ph: (518) 395-9187 | Tara 801 Bedford Rd Schenectady NY 12308-3407 Ph: (518) 395-9187 |
| NPI Number | 1457539041 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457539041 | NPI | - | NPPES |
| 01787677 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 011270 (New York) | Primary |
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