Organization
NEUROPSYCHOLOGIC REHABILITATION SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI POWELL (OFFICE MANAGER)
(518) 392-7314
Entity
Organization
Contact information
Practice address
300 WASHINGTON AVE. EXT., ALBANY, NY 12203
(518) 392-7314
(518) 862-2175
Mailing address
300 WASHINGTON AVE. EXT., ALBANY, NY 12037-7303
(518) 392-7314
(518) 862-2175
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0096811
NY
103G00000X
Clinical Neuropsychologist
Primary
011531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01416751
—
NY
05
—
01416760
—
NY
05
—
01905259
—
NY
01
—
5096818
WORKERS COMP
NY
Enumeration date
07/13/2006
Last updated
01/09/2015
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