Individual
KYRA ROMANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PARK PL, SUITE 1, SCHOHARIE, NY 12157-5205
(518) 295-2031
Mailing address
113 PARK PL, SUITE 1, SCHOHARIE, NY 12157-5205
(518) 295-2031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00555784
—
NY
Enumeration date
05/09/2008
Last updated
05/09/2008
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