| Nys Office Of Mental Health | |
|
122 Dorothea Dix Dr Middletown NY 10940-1907 | |
| (845) 342-5511 | |
| Not Available |
| Full Name | Nys Office Of Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 122 Dorothea Dix Dr, Middletown, New York |
| Authorized Official Name and Position | Robert Puccio (DIRECTOR, FINANCE) |
| Authorized Official Contact | 5184730795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nys Office Of Mental Health 44 Holland Ave Albany NY 12229-0001 Ph: () - | Nys Office Of Mental Health 122 Dorothea Dix Dr Middletown NY 10940-1907 Ph: (845) 342-5511 |
| NPI Number | 1417090952 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417090952 | NPI | - | NPPES |
| 00769535 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New York) | Secondary |
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Access: Supports For Living Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Fortune Rd W, Middletown, NY 10941 Phone: 845-692-4454 Fax: 845-692-8887 |