Individual
RENATA CARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
8646 BRIAR PATCH, BALDWINSVILLE, NY 13027-8915
(315) 952-4259
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
501851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501851
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
01/20/2020
Last updated
01/20/2020
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