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NPI Code Detail

MEDICARE: THE WORKSHOP, INC

MEDICARE: THE WORKSHOP, INC
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number : 1689895880
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WORKSHOP, INC
Provider Business Mailing Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-465-5201
Fax Number : 518-463-8051
Provider Business Practice Location Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-465-5201
Fax Number : 518-463-8051
Authorized Official
Title or Position : ASST EXECUTIVE DIRECTOR
Name : MR. RICHARD BENNETT
Credential :
Telephone Number : 518-465-5202
Provider Enumeration Date : 05/02/2007
Last Update Date : 08/22/2020

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Directions to “THE WORKSHOP, INC ” Practice Location

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