Individual
MR. DANIEL EDWARD MATUSIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TH.M.
Contact information
Practice address
201 DEY ST, SUITE 210, ITHACA, NY 14850-3571
(607) 257-6320
(607) 273-6442
Mailing address
201 DEY ST, SUITE 210, ITHACA, NY 14850-3571
(607) 257-6320
(607) 273-6442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003761
NY
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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