Individual
BARBARA LEE PFENDLER RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 W LIBERTY ST, ROME, NY 13440-5743
(315) 339-3935
Mailing address
303 W LIBERTY ST, ROME, NY 13440-5743
(315) 339-3935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R074589-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01942034
—
NY
Enumeration date
07/24/2006
Last updated
06/22/2012
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