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NPI Code Detail

MEDICARE: MRS. MOLLY INSOGNA BSW CASAC

MEDICARE: MRS. MOLLY INSOGNA BSW CASAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor19398NY

General Provider Information

NPI Number : 1023165107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MOLLY INSOGNA BSW CASAC
Provider Business Mailing Address
First Line : 433 GEYSER RD
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-3022
Country : US
Telephone Number : 518-885-6884
Fax Number : 518-885-0077
Provider Business Practice Location Address
First Line : 433 GEYSER RD
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-3022
Country : US
Telephone Number : 518-885-6884
Fax Number : 518-885-0077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 06/07/2010

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