SEAN VINCENT MIRI

UTICA, NY
NPI1821509514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: NY  33082)
Enumeration Date2017-10-20
Last Update Date2017-10-20
Business Address
SEAN VINCENT MIRI CASAC
1213 COURT ST
UTICA, NY 13502-3803
Phone number: 315-478-2453
Mailing Address
SEAN VINCENT MIRI CASAC
518 JAMES ST STE 240
SYRACUSE, NY 13203-2229
Phone number:
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