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Scott Parker

Peer Specialist in Syracuse, NY. Individual provider (NPI-1).

NPI number1245083609
StatusActive
Last updated in NPPESApr 8, 2024

Details

NPI
1245083609
Entity type
Individual (NPI-1)
Name
Scott Parker
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 8, 2024
Certification date
Apr 7, 2024
Last updated
Apr 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
175T00000X Peer Specialist–NY

Practice location

329 N Salina St
Syracuse, NY 13203-1755

Phone 315-378-9962

Mailing address

329 N Salina St
Syracuse, NY 13203-1755

Phone 315-727-1671

Other practice locations

329 N Salina St
Syracuse, NY 13203-1755

Phone 315-727-1671

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