Doctor Name: | MRS. MOLLY INSOGNA |
NPI Number: | 1023165107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSW CASAC |
License Number: | 19398 |
Business Practice Address: | 433 Geyser Rd Ballston Spa, NY - 120203022 |
Business Phone Number: | 5188856884 |
Business Fax Number: | 5188850077 |
Mailing Address: | 433 Geyser Rd, BALLSTON SPA |
State: | NY |
Postal Code: | 120203022 |
Phone Number: | 5188856884 |
Fax Number: | 5188850077 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 06/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 19398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |