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Organization

MILESTONE PSYCHIATRIC & PSYCHOLOGICAL SERVICES P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJA RAO M.D (PRESIDENT)
(607) 324-9240
Entity
Organization

Contact information

Practice address
23 MAIN ST, SUITE # 102, HORNELL, NY 14843-1536
(607) 324-9240
Mailing address
23 MAIN ST, SUITE # 102, HORNELL, NY 14843-1536
(607) 324-9240

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
Primary
144594
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/09/2006
Last updated
09/07/2007
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