Organization
BROOKSIDE COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED M VOLO PH.D. (SOLE PROPRIETOR)
(518) 274-2336
Entity
Organization
Contact information
Practice address
1444 MASSACHUSETTS AVE, SUITE 208, TROY, NY 12180-1600
(518) 274-2336
(518) 274-2336
Mailing address
1444 MASSACHUSETTS AVE, SUITE 208, TROY, NY 12180-1600
(518) 274-2336
(518) 274-2336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01627072
—
NY
01
—
1215092556
INDIVIDUAL NPI
NY
Enumeration date
04/25/2007
Last updated
08/22/2020
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