Individual
MR. JEFFREY STEVEN GANELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
352 GROS BLVD, HERKIMER, NY 13350-1446
(315) 867-2000
Mailing address
352 GROS BLVD, HERKIMER, NY 13350-1446
(315) 867-2000
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
040068
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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