Individual
DR. MARK ELWOOD HAMDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 WARREN ST, SUITE 212, GLENS FALLS, NY 12801-4558
(518) 761-9977
(518) 761-2044
Mailing address
2769 COUNTY ROUTE 12, WHITEHALL, NY 12887-2419
(518) 499-2696
(518) 761-2044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000402790001
BCBSNENY PROVIDER NUMBER
—
01
—
078164
VALUE OPTIONS PROVIDER NU
—
01
—
10066994
CDPHP PROVIDER NUMBER
—
01
—
195527000
MAGELLAN PROVIDER NUMBER
—
01
—
346582
MVP PROVIDER NUMBER
—
01
—
6683031
GHI PROVIDER NUMBER
—
01
—
PVPB213258
APS PROVIDER NUMBER
—
Enumeration date
05/23/2006
Last updated
07/09/2007
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