DEBORAH L. POLLACK, PSYCHOLOGIST, PC (NPI# 1053827899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053827899 |
| Entity Type | Organization |
| Organization Name | DEBORAH L. POLLACK, PSYCHOLOGIST, PC |
| Practice Address |
4317 E Genesee St Ste 200 Syracuse NY 13214-2114 |
| Practice Telephone | 3153968398 |
| Mailing Telephone | 3153968398 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | DEBORAH LEE POLLACK (PRESIDENT) |
| Authorized Official Telephone | 3153968398 |
| Authorized Official Credential | OHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
017488-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
4317 E GENESEE ST STE 200 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1114586393 | Paige Ouimette, Phd, Psychologist, PC | Psychologist | 1101 Erie Blvd E Ste 206, Syracuse, NY 13210-1144 | 2019-06-11 |
| 1235571688 | Kelly C. Richards | Psychologist | 721 Orwood Pl, Syracuse, NY 13208-3124 | 2013-07-26 |
| 1275811291 | Dewitt Counseling Associates, Lcsw, PC | Psychologist | 890 E Brighton Ave, Syracuse, NY 13205-2538 | 2011-07-25 |
| 1992949192 | Angelina S Rodner | Psychologist | 505 Irving Ave, Upstate Concussion Management Program, Syracuse, NY 13210-1718 | 2009-05-01 |
| 1932345998 | Norman J. Lesswing | Psychologist | 307 S Townsend St, Syracuse, NY 13202-2128 | 2008-12-22 |
| 1760656847 | Barbara Mcclure | Psychologist | 6 Lansdowne Rd, Syracuse, NY 13214-2123 | 2008-04-18 |
| 1316165301 | Michael Louis Boucher | Psychologist | 307 Semloh Dr, Syracuse, NY 13219-2829 | 2007-04-23 |
| 1922149368 | Jerome Rene Wilett | Psychologist | 500 N Mcbride St, Syracuse, NY 13203-1913 | 2007-02-09 |
| 1881755312 | John F Harkulich | Psychologist | 419 Shuart Ave, Syracuse, NY 13203-3025 | 2006-12-12 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.