Healthcare Provider Details

I. General information

NPI: 1649336405
Provider Name (Legal Business Name): JANET GARBARINI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 LEROY ST
BINGHAMTON NY
13905-4603
US

IV. Provider business mailing address

14 LEROY ST
BINGHAMTON NY
13905-4603
US

V. Phone/Fax

Practice location:
  • Phone: 607-759-8887
  • Fax: 607-724-3865
Mailing address:
  • Phone: 607-759-8887
  • Fax: 607-724-3865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR032926-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: