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Individual

CHARLES SANTORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
375 W ONONDAGA ST, SYRACUSE, NY 13202-1888
(315) 478-2030
(315) 478-2250
Mailing address
375 W ONONDAGA ST, SYRACUSE, NY 13202-1888
(315) 478-2030
(315) 478-2250

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089083-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043656556
NY
Enumeration date
11/26/2013
Last updated
11/26/2013
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