Organization
GFN PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE M NNAJI PSYD (EXECUTIVE DIRECTOR)
(937) 304-5930
Entity
Organization
Contact information
Practice address
6701 MANLIUS CENTER RD, SUITE 111-192, EAST SYRACUSE, NY 13057-2999
(315) 218-6377
(315) 218-6377
Mailing address
6701 MANLIUS CENTER RD, SUITE 111-192, EAST SYRACUSE, NY 13057-2999
(315) 218-6377
(315) 218-6377
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
018892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154623395
—
NY
Enumeration date
02/15/2011
Last updated
02/15/2011
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