Individual
MR. ANDREW JAMES FIDURKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
29 E CAYUGA ST, OSWEGO, NY 13126-1241
(315) 326-4100
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
081157
NY
1041C0700X
Clinical Social Worker
Primary
095297
NY
Other
Enumeration date
11/26/2019
Last updated
10/16/2023
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