Provider Demographics
NPI:1134566995
Name:NEMETI, MICHAEL J JR (MA, LMHC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:NEMETI
Suffix:JR
Gender:M
Credentials:MA, LMHC
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Mailing Address - Street 1:112 MEDFORD RD
Mailing Address - Street 2:UPPR
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13211-1828
Mailing Address - Country:US
Mailing Address - Phone:315-446-6250
Mailing Address - Fax:315-445-4025
Practice Address - Street 1:960 SALT SPRINGS RD
Practice Address - Street 2:BLDG 6, 3RD FLOOR
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1639
Practice Address - Country:US
Practice Address - Phone:315-446-6250
Practice Address - Fax:315-445-4025
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
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Provider Licenses
StateLicense IDTaxonomies
NY005590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health