Provider Demographics
NPI:1649823790
Name:SUNZERI, OLIVIA (MS/CAS)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SUNZERI
Suffix:
Gender:F
Credentials:MS/CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 APPLE ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-8902
Mailing Address - Country:US
Mailing Address - Phone:607-377-7955
Mailing Address - Fax:
Practice Address - Street 1:4104 VESTAL RD STE 101
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3500
Practice Address - Country:US
Practice Address - Phone:607-235-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool