Individual
TERRENCE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 FRANKLIN ST, SCHENECTADY, NY 12305-2107
(518) 372-7031
(518) 372-7064
Mailing address
PO BOX 417153, BOSTON, MA 02241-7153
(518) 952-8140
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008308
—
NY
Enumeration date
12/14/2011
Last updated
12/14/2011
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