Individual
MR. DANIEL JOSEPH WISCOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6 PATCH RD, BINGHAMTON, NY 13901-5631
(607) 648-7580
Mailing address
30 NASSAU ST, JOHNSON CITY, NY 13790-2219
(607) 353-0855
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
100952-1
NY
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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