220 Front Street LLC

NPI #1366175937 in Vestal, New York

Provider Information

NPI Number
1366175937
Entity Type
Organization
Organization Name
220 Front Street LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jul 1, 2022
Last Updated
Jul 1, 2022

Practice Location

Address
220 FRONT ST
City
Vestal
ZIP Code
13850-1514
Phone
(607) 222-9913

Authorized Official

Name
MR. MARIO NUNES, LCSW-R
Title
CLINICAL SOCIAL WORKER
Phone
(607) 222-9913

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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