Individual
AIDA SOCIE KRADJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
46 RIVERSIDE DR, BINGHAMTON, NY 13905-4511
(607) 772-1766
(607) 772-2091
Mailing address
12 STRATFORD PL, BINGHAMTON, NY 13905-4208
(607) 772-6322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048138-1
NY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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