Ida Gregoire LMSW RN

NPI 1164599007 - Social Worker - 104100000X

NPI Details
NPI 1164599007
Gender Female
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
614 S SALINA ST
SUITE 300
SYRACUSE NY, 13202-3524, US
Phone (315) 425-0599
Fax (315) 471-6760
Business Location
1101 BURNET AVENUE
SYRACUSE NY, 13203, US
Phone (315) 479-8012
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 0425861
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According to our database, Ida Gregoire LMSW RN NPI is 1164599007, taxonomy code is 104100000X and license number is 0425861, license state is located at New York. Ida Gregoire LMSW RN physically located at 614 S Salina St, Syracuse NY, 13202-3524. NPI Number Ida Gregoire LMSW RN has the Individual type.

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1164599007 NPI number is provided on an as is basis without warranty of any kind. 1164599007 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Gregoire LMSW RN are for informational purposes only.