Doctor Name: | FRANK ANGELO CIMINO |
NPI Number: | 1194092619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW,LCSWR |
License Number: | PR024210-1 |
Business Practice Address: | 3599 Big Ridge Rd Spencerport, NY - 145591709 |
Business Phone Number: | 5853499177 |
Business Fax Number: | 5853499101 |
Mailing Address: | 3599 Big Ridge Rd, SPENCERPORT |
State: | NY |
Postal Code: | 145591709 |
Phone Number: | 5853499177 |
Fax Number: | 5853499101 |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR024210-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |