Individual
MARCUS HOTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1786 UNION ST, NISKAYUNA, NY 12309-6901
(518) 346-6935
(518) 381-3945
Mailing address
1 OLD COUNTRY RD, SUITE 271, CARLE PLACE, NY 11514-1801
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015350-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02369331
—
NY
Enumeration date
06/19/2006
Last updated
07/08/2007
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