| Wellness Path | |
|
209 Oswego St Space#13 Liverpool NY 13088-1502 | |
| (315) 457-7047 | |
| (315) 457-0719 |
| Full Name | Wellness Path |
|---|---|
| Speciality | Counselor - Professional |
| Location | 209 Oswego St, Liverpool, New York |
| Authorized Official Name and Position | Nahid Masrouri (CEO) |
| Authorized Official Contact | 3154577047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Path 209 Oswego St Space#13 Liverpool NY 13088-1502 Ph: (315) 457-7047 | Wellness Path 209 Oswego St Space#13 Liverpool NY 13088-1502 Ph: (315) 457-7047 |
| NPI Number | 1427446301 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427446301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | R046289-1 (New York) | Primary |
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