Funicelli, Susan C

Funicelli, Susan C is an individual health care provider with primary practice located at 201 East Green St , Ithaca NY 14850. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Funicelli, Susan C can be contacted via phone (607) 274-6200.

Contact Information

Primary practice address
201 East Green St Ithaca NY 14850
Phone: (607) 274-6200
Fax: (607) 274-6316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0565391 New York

Profile Details

NPI number 1508805383
LBN Legal business name Funicelli, Susan C
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 24th, 2013 - about 11 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.

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