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Organization
RONALD OTWORI NP IN PSYCHIATRY PLLC
Active
Organization
RONALD OTWORI NP IN PSYCHIATRY PLLC
Active
Other names
The Summit
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD OTWORI MS, NPP (OWNER)
(518) 577-3640
Entity
Organization
Contact information
Practice address
258 USHERS RD STE 203, CLIFTON PARK, NY 12065-1428
(518) 577-3640
(518) 776-1050
Mailing address
11 LANDMARK ST, LATHAM, NY 12110-2005
(518) 577-3640
(518) 776-1050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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