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
—
—
104100000X
Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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