Individual
ROBIN LYNN MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(585) 208-3019
Mailing address
1011 UNIVERSITY AVE APT 44, ROCHESTER, NY 14607-1277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001218-1
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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