Organization
AMICI BEHAVIORAL HEALTH LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JAMES TRAVERS LCSW-R (OWNER)
(585) 329-4743
Entity
Organization
Contact information
Practice address
111 E 14TH ST, ELMIRA HEIGHTS, NY 14903-1303
(607) 734-9539
(607) 734-6293
Mailing address
3542 SAINT PAUL BLVD, ROCHESTER, NY 14617-2716
(585) 329-4743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR017387-1
NY
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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