| Full Name | Nancy Davison |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 391 Western Ave, Albany, New York |
| Authorized Official Name and Position | Nancy Davison (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 5182424731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Davison 391 Western Ave Albany NY 12203-1401 Ph: () - | Nancy Davison 391 Western Ave Albany NY 12203-1401 Ph: (518) 242-4731 |
| NPI Number | 1366865255 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366865255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071063-1 (New York) | Primary |
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