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Individual

BRIAN KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26 ROSE ST, GENEVA, NY 14456-1635
(315) 521-9205
Mailing address
26 ROSE ST, GENEVA, NY 14456-1635
(315) 521-9205

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
10484TY
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
VYT2018911111
NY
Enumeration date
04/26/2016
Last updated
04/26/2016
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