Peter Dodge
Social Worker Addiction Counselor (Substance Use Disorder)
334 W State St
Ithaca
, New York 14850-5432
Peter Dodge
Social Worker Addiction Counselor (Substance Use Disorder)
334 W State St
Ithaca
, New York 14850-5432
(607) 273-1277
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Social Worker
Languages spoken
- English
Location
First Address
- Peter Dodge
- 334 W State St Po Box 789
- Ithaca, NY
- Zip : 14850-5432
- Fax : (607) 273-1277
- Phone : (607) 273-5500
Second Address
- Peter Dodge
- 334 W State St
- Ithaca, NY
- Zip : 14850-5432
- Fax : (607) 273-1277
- Phone : (607) 273-5500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 104100000X | Social Worker | 077988 | NY |
National Provider Identifier
| NPI | 1003116351 |
|---|---|
| Provider Name | Peter Dodge |
| First Address | Ithaca, NY 14850-5432 |
| Second Address | Ithaca, NY 14850-5432 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2010 |
| Last Update Date | 02/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.