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1386004695
MITCHELL S EARLEYWINE
ALBANY, NY
NPI
1386004695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 017483-1)
Enumeration Date
2016-02-29
Last Update Date
2016-03-24
Business Address
Dr. MITCHELL S EARLEYWINE Ph.D.
260 WASHINGTON AVENUE EXT CORPORATE PLAZA, STE 101
ALBANY, NY 12203-6326
Phone number: 518-218-1188
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Mailing Address
Dr. MITCHELL S EARLEYWINE Ph.D.
260 WASHINGTON AVENUE EXT CORPORATE PLAZA, STE 101
ALBANY, NY 12203-6326
Phone number: 518-218-1188
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