Individual
TREVOR WARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC-LP
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 280-0400
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P05565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
06/15/2018
Last updated
06/15/2018
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