Brian R Amidon is a Clinical in Syracuse, New York. Brian R Amidon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian R Amidon is 1417029026. The last update date is 2015-08-12.
Brian R Amidon's current location address is 725 Irving Ave Ste 302, Syracuse, New York. You can contact this provider via phone number 3154645538 and fax number 3154645579. The mailing address for Brian R Amidon is 725 Irving Ave Ste 302, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian R Amidon |
|---|---|
| Address | 725 Irving Ave Ste 302, Syracuse, New York |
| Phone Number | 3154645538 |
| Fax Number | 3154645579 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417029026 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2015-08-12 |
Provider Mailing Address Detail
| Address | 725 Irving Ave Ste 302 |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132101603 |
| Phone Number | 3154645538 |
| Fax Number | 3154645579 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 83385 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1649605 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian R Amidon?
The Brian R Amidon has been issued the NPI (National Provider Identifier) 1417029026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Brian R Amidon is physically located?
The Brian R Amidon is situated at the following address: 725 Irving Ave Ste 302, Syracuse, NY 132101603.
What is Brian R Amidon's area of expertise and its corresponding taxonomy classification?
The Brian R Amidon's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Brian R Amidon receive its 1417029026 assignment from the Centers for Medicare & Medicaid Services?
The Brian R Amidon was assigned its 1417029026 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian R Amidon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian R Amidon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-12.
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