Individual
STEVEN J DERCOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 ELM ST, GLENS FALLS, NY 12801-3670
(518) 793-7273
(518) 798-5004
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3996-T
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40720
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/12/2022
Last updated
06/03/2025
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