Whalio Doctors

NPI 1043618499

Clark Pinson, PHD

Organisation Health Maintenance Organization Syracuse, NY

Practice location

Address
114 N Lowell Ave, Syracuse, NY 13204-2014
Phone
(315) 514-0401

Authorised official

Name
Clark Daniel Pinson
Title
Psychologist
Phone
(315) 514-0401

Registered specialties (4)

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 020187 (NY)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence 020187 (NY)
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X Licence 020187 (NY)
Point of Service
Managed Care Organizations Taxonomy 305S00000X Licence 020187 (NY)

Registry record

NPI
1043618499
Entity type
Organization
NPI issued
17 Dec 2014
Record last updated
17 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.