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Ralph Fragoso
Counselor in Peekskill, New York
NPI 1548405392

Ralph Fragoso is a Counselor based in Yonkers, NY. Ralph Fragoso practices in Peekskill, NY. The NPI Number for Ralph Fragoso is 1548405392 and holds a License No. (New York).

The current practice location address for Ralph Fragoso is 50 Dayton Ln Ste 205, Peekskill, NY and can be reached out via phone at 914-736-3371 and via fax at 914-736-3372.

Location: 50 Dayton Ln Ste 205, Peekskill, NY, 10701-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548405392
Provider Name
Ralph Fragoso
Credential
Provider Entity Type
Individual
Gender
Male
Address
50 Dayton Ln Ste 205, Peekskill, NY, 10701-1108
Phone Number
914-736-3371
Fax Number
914-736-3372
Provider Enumeration Date
12/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00355940 01 NY AGENCY MEDICAID PROVIDER ID
WVE061 01 NY AGENCY MEDICARE ID#
1285628552 01 NY AGENCY NPI #
institution
Provider Business Practice Location Address Details
Address
50 Dayton Ln Ste 205
City
Peekskill
State
New York
Zip
10566-2860
Phone Number
914-736-3371
Fax Number
914-736-3372
person
Provider Business Mailing Address Details
Address
50 Dayton Ln Ste 205
City
Peekskill
State
New York
Zip
10566-2860
Phone Number
914-736-3371
Fax Number
914-736-3372
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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