Organization
KIMBERLY A. HOSTIG LICENSED CLINICAL SOCIAL WORKER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. HOSTIG LCSW-R (SOLE OWNER)
(518) 222-6752
Entity
Organization
Contact information
Practice address
8 STANLEY CIR STE 11, LATHAM, NY 12110
(518) 222-6752
(518) 786-0917
Mailing address
22 HAMPTON CIR, MECHANICVILLE, NY 12118-3436
(518) 423-6831
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R075574-1
NY
Other
Enumeration date
06/08/2018
Last updated
07/24/2018
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