Organization
CENTRAL NEW YORK QUEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY LOPEZ-WILLIAMS PHD (CHIEF EXECUTIVE OFFICER)
(315) 732-3431
Entity
Organization
Contact information
Practice address
587 MAIN ST, SUITE 108, NEW YORK MILLS, NY 13417-1481
(315) 732-3431
(866) 822-2343
Mailing address
587 MAIN ST, SUITE 108, NEW YORK MILLS, NY 13417-1481
(315) 732-3431
(866) 822-2343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017312-1
NY
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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