Provider Demographics
NPI:1508584871
Name:OSIER, DOLORES DIFULVIO (LCSW)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:DIFULVIO
Last Name:OSIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13904-1319
Mailing Address - Country:US
Mailing Address - Phone:160-723-7324
Mailing Address - Fax:
Practice Address - Street 1:1355 US ROUTE 11
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:NY
Practice Address - Zip Code:13795-1640
Practice Address - Country:US
Practice Address - Phone:607-203-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0724261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical