Organization
PEARL STREET COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY KUPERMAN (EXECUTIVE DIRECTOR)
(518) 462-4320
Entity
Organization
Contact information
Practice address
109 STATE ST, ALBANY, NY 12207-1622
(518) 462-4320
(518) 462-4360
Mailing address
109 STATE ST, ALBANY, NY 12207-1622
(518) 462-4320
(518) 462-4360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
070611525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760438
—
NY
Enumeration date
10/26/2006
Last updated
11/18/2008
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