MEDICARE: DR. ANN GARCZYNSKI ALTOONIAN PSY.D.

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
1	103TC0700X	Clinical Psychologist	012371	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699737312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN GARCZYNSKI ALTOONIAN PSY.D.

Provider Business Mailing Address
First Line	:	5688 WILLIAMSON PKWY
Second Line	:
City	:	CICERO
State	:	NY
Zip	:	13039-9513
Country	:	US
Telephone Number	:	585-467-5930
Fax Number	:	585-412-6160

Provider Business Practice Location Address
First Line	:	500 HELENDALE RD
Second Line	:	SUITE 130
City	:	ROCHESTER
State	:	NY
Zip	:	14609-3173
Country	:	US
Telephone Number	:	585-467-5930
Fax Number	:	585-467-6878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/23/2022

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