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Organization
PINE BUSH MENTAL HEALTH, LLP
Active
Organization
PINE BUSH MENTAL HEALTH, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA POLANIK MILLER PH.D. (LICENSED PSYCHOLOGIST)
(518) 862-1665
Entity
Organization
Contact information
Practice address
1A PINE WEST PLZ, ALBANY, NY 12205-5556
(518) 862-1665
(518) 862-1668
Mailing address
1A PINE WEST PLZ, ALBANY, NY 12205-5556
(518) 862-1665
(518) 862-1668
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014323
NY
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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