| Da Mancuso Counseling | |
|
1402 Genesee St Utica NY 13502-4727 | |
| (315) 735-8913 | |
| Not Available |
| Full Name | Da Mancuso Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1402 Genesee St, Utica, New York |
| Authorized Official Name and Position | David A Mancuso (OWNER) |
| Authorized Official Contact | 3157358913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Da Mancuso Counseling Po Box 8307 Utica NY 13505-8307 Ph: (315) 735-8913 | Da Mancuso Counseling 1402 Genesee St Utica NY 13502-4727 Ph: (315) 735-8913 |
| NPI Number | 1811049265 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811049265 | NPI | - | NPPES |
| 01528427 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Primary |
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