Provider Demographics
NPI:1609183151
Name:GENETIC COUNSELING SERVICES
Entity Type:Organization
Organization Name:GENETIC COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETIC COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:BONNIE
Authorized Official - Last Name:LIEBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CGC
Authorized Official - Phone:888-260-6543
Mailing Address - Street 1:PO BOX 9205
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1162
Mailing Address - Country:US
Mailing Address - Phone:888-260-6543
Mailing Address - Fax:888-204-5975
Practice Address - Street 1:1070 LAMPLIGHTER RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1162
Practice Address - Country:US
Practice Address - Phone:888-260-6543
Practice Address - Fax:888-204-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Single Specialty