Organization
ASI OF CORTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M. NEUFANG LMSW, CASAC (PRESIDENT ASI OF CORTLAND, LLC)
(607) 756-4167
Entity
Organization
Contact information
Practice address
17 MAIN ST, CORTLAND, NY 13045-6606
(607) 756-4167
(607) 753-0608
Mailing address
17 MAIN ST, CORTLAND, NY 13045-6606
(607) 756-4167
(607) 753-0608
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02525840
—
NY
Enumeration date
02/01/2007
Last updated
08/22/2020
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