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Organization
MARY CARIOLA CHILDRENS CENTER
Active
Organization
MARY CARIOLA CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN ZANDI LCSW (PRESIDENT/CEO)
(585) 271-0761
Entity
Organization
Contact information
Practice address
1000 ELMWOOD AVE, SUITE 100, ROCH., NY 14620-3093
(585) 271-0761
(585) 442-3143
Mailing address
1000 ELMWOOD AVENUE, SUITE 100, ROCHESTER, NY 14620-3093
(585) 271-0761
(585) 442-3143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093887101
—
NY
05
—
1265504385
—
NY
05
—
1306918420
—
NY
05
—
1770655805
—
NY
Enumeration date
10/28/2008
Last updated
01/30/2020
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