Individual
KENNETH TANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5412 GAMBLE RD, GENESEO, NY 14454-9537
(585) 402-1094
Mailing address
5412 GAMBLE RD, GENESEO, NY 14454-9537
(585) 402-1094
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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