| Pearl Street Counseling Center, Inc. | |
|
109 State St Albany NY 12207-1622 | |
| (518) 462-4320 | |
| (518) 462-4360 |
| Full Name | Pearl Street Counseling Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 109 State St, Albany, New York |
| Authorized Official Name and Position | Guy Kuperman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5184624320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Street Counseling Center, Inc. 109 State St Albany NY 12207-1622 Ph: (518) 462-4320 | Pearl Street Counseling Center, Inc. 109 State St Albany NY 12207-1622 Ph: (518) 462-4320 |
| NPI Number | 1154406221 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154406221 | NPI | - | NPPES |
| 02760438 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 070611525 (New York) | Primary |
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