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Individual

ADAM JOSEPH DIEMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSW

Contact information

Practice address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Mailing address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/11/2016
Last updated
02/11/2016
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