Individual
MR. ORMAN DAVID BOMYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC, CPP
Contact information
Practice address
209 PARK STREET, MALONE, NY 12953
(518) 483-8980
(518) 483-4830
Mailing address
PO BOX 432, MALONE, NY 12953-0432
(518) 483-8980
(518) 483-4830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3554
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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