Individual
MARGARET A NEZELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76 MAIN ST, SUITE B, SIDNEY, NY 13838-1112
(607) 563-4080
(607) 563-4080
Mailing address
76 MAIN ST, SUITE B, SIDNEY, NY 13838-1112
(607) 563-4080
(607) 563-4080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R0440551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135251
CDPHP
NY
01
—
713336
MVP
NY
01
—
748252300
VALUE OPTIONS-EMPIRE
NY
01
—
7482523002
GHI
NY
Enumeration date
07/10/2006
Last updated
02/11/2010
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