Sisu Blooms | |
213 Yale Ave Syracuse NY 13219-2651 | |
(315) 925-6113 | |
Not Available |
Full Name | Sisu Blooms |
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Speciality | Marriage & Family Therapist |
Location | 213 Yale Ave, Syracuse, New York |
Authorized Official Name and Position | Giles Christopher Sieburg (OWNER) |
Authorized Official Contact | 3159256113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sisu Blooms 213 Yale Ave Syracuse NY 13219-2651 Ph: (315) 925-6113 | Sisu Blooms 213 Yale Ave Syracuse NY 13219-2651 Ph: (315) 925-6113 |
NPI Number | 1174277206 |
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Provider Enumeration Date | 02/08/2022 |
Last Update Date | 11/22/2023 |
Certification Date | 11/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174277206 | NPI | - | NPPES |
001657 | Other | NY | MARRIAGE AND FAMILY THERAPIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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