Most Relevant Information
Provider Data
| NPI Number: | 1003323999 |
| Provider Name: | ROSS LOUCY |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 077207 |
Most Important Dates
| Enumeration Date: | 01/02/2018 |
| Last Updated: | 01/02/2018 |
Provider Practice Location
620 MADISON ST
SYRACUSE
NY
132102319
Practice Location Phone/Fax
| Phone: | 3154267675 |
| Fax: |
Provider Mailing Location
620 MADISON ST
SYRACUSE
NY
132102319
Provider Mailing Phone/Fax
| Phone: | 3154267675 |
| Fax: |