Provider Demographics
NPI:1265147342
Name:HURNY-FRICANO, BETH ELLEN (EDD, LMSW, CASAC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ELLEN
Last Name:HURNY-FRICANO
Suffix:
Gender:F
Credentials:EDD, LMSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 JAMES ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2661
Mailing Address - Country:US
Mailing Address - Phone:315-671-2952
Mailing Address - Fax:315-671-2943
Practice Address - Street 1:635 JAMES ST STE 1
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2661
Practice Address - Country:US
Practice Address - Phone:315-671-2952
Practice Address - Fax:315-671-2943
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical