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NPI Code Detail

MEDICARE: MATTHEW ELFNER MS, CRC, LCAS

MEDICARE:   MATTHEW  ELFNER  MS, CRC, LCAS
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) Counselor1826NC

General Provider Information

NPI Number : 1023392289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ELFNER MS, CRC, LCAS
Provider Business Mailing Address
First Line : 24 HAMILTON ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-4226
Country : US
Telephone Number : 518-886-5601
Fax Number :
Provider Business Practice Location Address
First Line : 24 HAMILTON ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-4226
Country : US
Telephone Number : 518-886-5601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/15/2018

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Directions to “ MATTHEW ELFNER MS, CRC, LCAS” Practice Location

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