Most Relevant Information
Provider Data
| NPI Number: | 1003452939 |
| Provider Name: | ANDREW JAMES FIDURKO LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 081157 |
Most Important Dates
| Enumeration Date: | 11/26/2019 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
29 E CAYUGA ST
OSWEGO
NY
131261241
Practice Location Phone/Fax
| Phone: | 3153264100 |
| Fax: |
Provider Mailing Location
110 W 6TH ST
OSWEGO
NY
131262507
Provider Mailing Phone/Fax
| Phone: | 3153495511 |
| Fax: |