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DR. LEONARD TRAVAGLIONE PH.D.

Clinical Neuropsychologist

Albany, New York

Provider NPI: 1750481495

Provider Information:
DR. LEONARD  TRAVAGLIONE PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
300 WASHINGTON AVENUE EXT  ALBANY, NY 12203 US
Tel: 518-392-7314  Fax: 518-862-2175

Business Mailing Address:
300 WASHINGTON AVENUE EXT  ALBANY, NY 12203 US
Tel: 518-392-7314  Fax: 518-862-2175

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY011531

Other Provider Identifiers:

IssuerNumberStateType
01416760NY05
VALUE OPTIONS134284NY01
01905259NY05
LICENSE011531NY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NY - Page 1

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