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NPI Code Detail

MEDICARE: MISS ELIZABETH LAW POST CASAC-T

MEDICARE: MISS ELIZABETH LAW POST CASAC-T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37314NY

General Provider Information

NPI Number : 1609629351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELIZABETH LAW POST CASAC-T
Provider Business Mailing Address
First Line : 321 W ONONDAGA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3265
Country : US
Telephone Number : 315-478-0610
Fax Number :
Provider Business Practice Location Address
First Line : 321 W ONONDAGA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3265
Country : US
Telephone Number : 315-478-0610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 04/10/2024

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Directions to “ MISS ELIZABETH LAW POST CASAC-T” Practice Location

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