Organization
ADIRONDACK CROSS ROADS PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GERARD SCHULZE PSYD (ORIGINAL MANAGER/ OWNER)
(518) 798-2088
Entity
Organization
Contact information
Practice address
123 DIXON RD, QUEENSBURY, NY 12804-2133
(518) 798-2088
(518) 798-2088
Mailing address
123 DIXON RD, QUEENSBURY, NY 12804-2133
(518) 798-2088
(518) 798-2088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405218002
BLUE SHIELD OF NORTHEASTERN NEW YORK
NY
05
—
01675901
—
NY
01
—
137679
VALUE OPTIONS
NY
01
—
200207781
CDPHP
NY
01
—
41202
MVP
NY
01
—
VE9702
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/07/2010
Last updated
10/07/2010
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