Individual
MICHAEL J MANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.-P
Contact information
Practice address
600 FRANKLIN ST, SCHENECTADY, NY 12305-2100
(518) 372-7031
(518) 372-7064
Mailing address
PO BOX 31094, HARTFORD, CT 06150-7528
(518) 952-8140
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
221 P
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
06/28/2007
Last updated
03/25/2010
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