Pamela M Grzechowiak
Individual provider Active NPI Counselor · North Collins, NY
NPI 1245580398 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1245580398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2107 Spruce Street
North Collins, NY 14111 - Phone
- (716) 337-3706
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestself Behavioral Health, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2107 Spruce Street
North Collins, NY 14111
Mailing address
2107 Spruce Street
North Collins, NY 14111
Other providers in North Collins, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.