Provider Demographics
NPI:1376611590
Name:PAPALIA, ANTONY SEBASTION (DED)
Entity Type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:SEBASTION
Last Name:PAPALIA
Suffix:
Gender:M
Credentials:DED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LAMONT CIR
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3502
Mailing Address - Country:US
Mailing Address - Phone:607-756-5741
Mailing Address - Fax:607-753-2367
Practice Address - Street 1:16 LAMONT CIR
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3502
Practice Address - Country:US
Practice Address - Phone:607-756-5741
Practice Address - Fax:607-753-2367
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000959-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health