| NPI | 1659862290 |
|---|---|
| Doing Business As | MITCHELL J LURYE, LCSWR |
| Entity Type | Organization |
| Authorized Contact | MITCHELL J LURYE Owner 585-217-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 031120) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |