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Contact Information

ANGELA M PETTY, LCSWR RNC
252 W DOMINICK ST
ROME, NY13440
 Phone: 315-337-0773
 Fax: 315-337-2158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for ANGELA M PETTY · (Female)

NPI Number 1134137029
Status Active
Credentials LCSWR RNC
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # LCSW R045850-1
  • NY License # RPN 251556-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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