Basic Information
Provider Information
NPI: 1447215694
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POSSON
FirstName: ROBYN
MiddleName: M.
NamePrefix: MS.
NameSuffix:  
Credential: L.M.H.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1219 TRINITY AVE
Address2:  
City: SCHENECTADY
State: NY
PostalCode: 123062817
CountryCode: US
TelephoneNumber: 5183811257
FaxNumber: 5183811477
Practice Location
Address1: 47 NEW SCOTLAND AVE
Address2: DIVISION OF GENERAL SURGERY, BARIATRIC CENTER
City: ALBANY
State: NY
PostalCode: 122083412
CountryCode: US
TelephoneNumber: 5182622820
FaxNumber: 5182625560
Other Information
ProviderEnumerationDate: 04/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X000226-1NYY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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