Individual
MR. ROBERT E PAGANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2946
Mailing address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0072523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649605
—
NY
Enumeration date
08/19/2006
Last updated
02/20/2009
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