Individual
NICOLE DEFURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
819 S. SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Mailing address
819 S. SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
076245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04125137
—
NY
Enumeration date
02/26/2010
Last updated
03/30/2016
About Stedi
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