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NPI Code Detail

MEDICARE: JOHN PETER CAHILL

MEDICARE: JOHN PETER CAHILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336663830
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PETER CAHILL
Provider Business Mailing Address
First Line : 325 COLUMBIA ST STE 300
Second Line :
City : HUDSON
State : NY
Zip : 12534-1931
Country : US
Telephone Number : 518-828-9446
Fax Number : 518-828-9450
Provider Business Practice Location Address
First Line : 325 COLUMBIA ST STE 300
Second Line :
City : HUDSON
State : NY
Zip : 12534-1931
Country : US
Telephone Number : 518-828-9446
Fax Number : 518-828-9450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 07/27/2017

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