MEDICARE: CHRISTINE USYK

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558796995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE USYK

Provider Business Mailing Address
First Line	:	10 MCKOWN RD STE 102
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-3473
Country	:	US
Telephone Number	:	518-689-0244
Fax Number	:	518-689-0241

Provider Business Practice Location Address
First Line	:	10 MCKOWN RD STE 102
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-3473
Country	:	US
Telephone Number	:	518-689-0244
Fax Number	:	518-689-0241

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

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	07/19/2022

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Directions to “ CHRISTINE USYK ” Practice Location

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