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Individual

SUVADA VEIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1500 GENESEE ST, UTICA, NY 13502
(315) 735-9501
(315) 735-9769
Mailing address
711 TILDEN AVE, UTICA, NY 13501
(315) 735-9501
(315) 735-9769

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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