Individual
DR. KEVIN C PERTCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
ONE WEST AVENUE, SUITE 205, SARATOGA SPRINGS, NY 12866
(518) 587-0499
(518) 587-0536
Mailing address
ONE WEST AVENUE, SUITE 205, SARATOGA SPRINGS, NY 12866
(518) 587-0499
(518) 587-0536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015853-1
NY
103TC0700X
Clinical Psychologist
015853-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02525693
—
NY
Enumeration date
07/24/2006
Last updated
10/04/2010
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