Individual
MRS. ANDREA FACCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 COURT ST STE 210, UTICA, NY 13502-4233
(315) 507-5800
(315) 507-5802
Mailing address
502 COURT ST STE 210, UTICA, NY 13502-4233
(315) 507-5800
(315) 507-5802
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
661972
NY
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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