Individual
MR. ANTHONY JOSEPH COTRACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
207 E COURT ST, ITHACA, NY 14850-4279
(607) 351-5839
Mailing address
207 E COURT ST, ITHACA, NY 14850-4279
(607) 351-5839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
048398
NY
Other
Enumeration date
10/05/2006
Last updated
12/15/2008
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