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Organization
SENIOR CONNECTIONS PSYCHOLOGICAL SE
Active
Organization
SENIOR CONNECTIONS PSYCHOLOGICAL SE
Active
Other names
Senior Connections Psychological Services of New York PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALLEN DANIEL PHD (OWNER)
(845) 781-6061
Entity
Organization
Contact information
Practice address
270 RIVERSIDE DR., #201, JOHNSON CITY, NY 13790
(845) 781-6061
(607) 729-0757
Mailing address
P.O. BOX 130926, SPRING, TX 77393-0926
(281) 292-1897
(281) 292-1787
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02668179
—
NY
01
—
DD5776
RAILROAD MEDICARE
NY
Enumeration date
05/10/2006
Last updated
10/11/2012
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