| NPI | 1790972107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA PAULA BOGDAN-FYLES Owner 315-234-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R034387-1) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2007-09-29 |