Individual
AYDIN O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 S PARK ST, CAMBRIDGE, NY 12816-1223
(518) 677-8527
Mailing address
24 S PARK ST, CAMBRIDGE, NY 12816-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P05891
NY
Other
Enumeration date
06/12/2017
Last updated
06/28/2017
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