Healthcare Provider Details
I. General information
NPI: 1356113419
Provider Name (Legal Business Name): CHRISTINE SATTLER MCH-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
942 ROUTE 376
WAPPINGERS FALLS NY
12590-6483
US
IV. Provider business mailing address
14 MERRYWOOD RD
WAPPINGERS FALLS NY
12590-1248
US
V. Phone/Fax
- Phone: 845-765-2366
- Fax:
- Phone: 914-329-2231
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | P125302 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: