Defurio, Nicole
Defurio, Nicole is an sole proprietor health care provider with primary practice located at 819 S. Salina Street , Syracuse NY 13202. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Defurio, Nicole can be contacted via phone (315) 476-7921.Contact Information
Primary practice address
819 S. Salina Street
Syracuse NY 13202
Phone: (315) 476-7921
Fax: (315) 475-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 076245 | New York |
Profile Details
| NPI number | 1043532476 |
|---|---|
| LBN Legal business name | Defurio, Nicole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2010 |
| Last updated | Mar 30th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043532476 | NPPES |
| New York | MEDICAID | 04125137 |
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