| Mr Allen John Agnew, CASAC NYS 13121 | |
|
201 E Green St, Suite 500, Ithaca, NY 14850-5635 | |
| (607) 274-6288 | |
| (607) 274-6280 |
| Full Name | Mr Allen John Agnew |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 201 E Green St, Ithaca, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053474098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CASAC 13121 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Allen John Agnew, CASAC NYS 13121 512 Highland Rd, Ithaca, NY 14850-2218 Ph: (607) 257-4245 | Mr Allen John Agnew, CASAC NYS 13121 201 E Green St, Suite 500, Ithaca, NY 14850-5635 Ph: (607) 274-6288 |
Peter Dodge, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 W State St, Ithaca, NY 14850 Phone: 607-273-5500 Fax: 607-273-1277 | |
Andrea Arden Gerding, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 201 E Green St Fl 5, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280 | |
Mrs. Amy Abbasov, M.ED. LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Besemer Ln, Ithaca, NY 14850 Phone: 806-236-4156 | |
Stacy Cangelosi Mike, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Suite 500, Ithaca, NY 14850 Phone: 607-274-6288 | |
Vanessa Hendrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St Ste 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280 | |
Mr. Colin Andrew Polnitsky, MSW INTERN Counselor Medicare: Medicare Enrolled Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280 |