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Individual

PHILIP JOHN MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
Mailing address
3176 ABBOTT RD STE 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
36886
NY

Other

Enumeration date
12/30/2020
Last updated
12/31/2020
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