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Organization

GFN PSYCHOLOGICAL SERVICES, PC

Active
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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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