Most Relevant Information
Provider Data
| NPI Number: | 1003296435 |
| Provider Name: | ERIC M DECELLE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 087904 |
Most Important Dates
| Enumeration Date: | 06/01/2015 |
| Last Updated: | 03/19/2019 |
Provider Practice Location
87 PLAZA BLVD
PLATTSBURGH
NY
12901
Practice Location Phone/Fax
| Phone: | 5185367060 |
| Fax: | 5185367075 |
Provider Mailing Location
9 CAREY RD
QUEENSBURY
NY
128047880
Provider Mailing Phone/Fax
| Phone: | 5187610300 |
| Fax: | 5188242388 |