Individual
SAMANTHA GAMBOCARTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC ADVANCED
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34086
NY
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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