Individual
EUGENE STOREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 539-1980
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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