PROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH

SYRACUSE, NY
NPI1710929047
Entity TypeOrganization
Authorized ContactMANTOSH J DEWAN
President
315-464-3119
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
Enumeration Date2006-06-12
Last Update Date2020-08-22
Business Address
PROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3119
Mailing Address
PROFESSIONAL PRACTICE GROUP, DEPT. OF PSYCH
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3119