Individual
MR. CHARLES BELLAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6129 ROYAL BIRKDALE, JAMESVILLE, NY 13078-9718
(315) 425-4400
(315) 425-3447
Mailing address
6129 ROYAL BIRKDALE, JAMESVILLE, NY 13078-9718
(315) 425-4400
(315) 425-3447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
047323
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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