Organization
CONNECT MARRIAGE AND FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYNN ROGERS BURNS MFT (PRESIDENT)
(315) 400-2483
Entity
Organization
Contact information
Practice address
5900 N BURDICK ST STE 102A, EAST SYRACUSE, NY 13057-9477
(315) 400-2483
Mailing address
3 DRUMLINS TER, SYRACUSE, NY 13224-2217
(315) 400-2483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124490362
ALL OTHER INSURANCES
NY
Enumeration date
08/26/2016
Last updated
01/05/2021
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