National Provider Identifier
George Patrick Zurenda Jr., LCSW-R
George Patrick Zurenda Jr., LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 272-1911.
Profile Overview
- NPI
- 1629121991
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 19, 2007
- Last Updated
- February 22, 2012
Practice Location
- 213 N Aurora St
- Ithaca, NY 14850-4360
Phone: (607) 272-1911
Mailing Address
- PO Box 660
- Ithaca, NY 14851-0660
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1629121991
- Entity Type
- Individual
- Last Name
- Zurenda
- First Name
- George
- Middle Name
- Patrick
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LCSW-R
- Provider Other Last Name
- Zurenda
- Provider Other First Name
- G.
- Provider Other Middle Name
- P.
- Provider Other Name Prefix Text
- Mr.
- Provider Other Credential Text
- LCSW-R
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- PO Box 660
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14851-0660
- Mailing Country
- US
- Mailing Phone
- (607) 227-1911
- Mailing Fax
- (607) 272-1911
- Practice Street Address
- 213 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4360
- Practice Country
- US
- Practice Phone
- (607) 272-1911
- Practice Fax
- (607) 272-1911
- Enumeration Date
- January 19, 2007
- Last Updated
- February 22, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)