Organization
SPARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HEWITT-GILL MA (EDUCATION SPECIALIST)
(518) 452-6705
Entity
Organization
Contact information
Practice address
3 MERCYCARE LN, GUILDERLAND, NY 12084-3504
(518) 452-6705
Mailing address
3 MERCYCARE LN, GUILDERLAND, NY 12084-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27849
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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