ETHAN MICHAEL KOROTZER

UTICA, NY
NPI1043975915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  055192)
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
ETHAN MICHAEL KOROTZER
1550 CHAMPLIN AVE
UTICA, NY 13502-4828
Phone number: 315-235-7629
Mailing Address
ETHAN MICHAEL KOROTZER
32 WOODSTREAM CT
NEW HARTFORD, NY 13413-2713
Phone number: 315-235-7629