Individual
MR. CODY PATRICK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 ERIE BLVD W STE 208, SYRACUSE, NY 13204-2457
(315) 472-7363
(315) 701-2368
Mailing address
620 ERIE BLVD W STE 208, SYRACUSE, NY 13204-2457
(315) 472-7363
(315) 701-2368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105603
NY
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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