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Individual

JONATHAN MICHAEL FILLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
76 BROAD AVE STE 1, BINGHAMTON, NY 13904-1406
(607) 237-6961
Mailing address
98 AITCHISON RD, BINGHAMTON, NY 13905-6047

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402751
NY

Other

Enumeration date
08/13/2019
Last updated
02/11/2025
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