Organization
MID-HUDSON SERVICES LCSW P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN FUENTES LCSW (PSYCHOTHERAPIST)
(914) 557-4310
Entity
Organization
Contact information
Practice address
12 WALNUT ST, STONY POINT, NY 10980-1327
(914) 557-4310
(845) 947-1802
Mailing address
76 W RAILROAD AVE, GARNERVILLE, NY 10923-1218
(914) 557-4310
(845) 947-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R054103-1
NY
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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