Most Relevant Information
Provider Data
| NPI Number: | 1003332925 |
| Provider Name: | ANDREA ROSA VERGARA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 085382 |
Most Important Dates
| Enumeration Date: | 08/22/2017 |
| Last Updated: | 08/22/2017 |
Provider Practice Location
1045 JAMES ST
SYRACUSE
NY
132032730
Practice Location Phone/Fax
| Phone: | 3154724471 |
| Fax: |
Provider Mailing Location
1045 JAMES ST
SYRACUSE
NY
132032730
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |