National Provider Identifier

Kimberly Ann Sacco

Kimberly Ann Sacco is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1144572694Ithaca, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1144572694
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 09, 2012
Last Updated
October 09, 2012

Practice Location

  • 201 E Green St
  • Suite 500
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Mailing Address

  • 202 Elmtree Ln
  • Syracuse, NY 13219-2132

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1144572694
Entity Type
Individual
Last Name
Sacco
First Name
Kimberly
Middle Name
Ann
Mailing Street Address
202 Elmtree Ln
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13219-2132
Mailing Country
US
Mailing Phone
(315) 427-7728
Practice Street Address
201 E Green St
Practice Address Line 2
Suite 500
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5635
Practice Country
US
Practice Phone
(607) 274-6288
Practice Fax
(607) 274-6280
Enumeration Date
October 09, 2012
Last Updated
October 09, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)