Organization
JONATHAN GRASSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRASSO (PSYCHOLOGIST)
(585) 394-1442
Entity
Organization
Contact information
Practice address
3180 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1442
Mailing address
3180 WEST ST, CANANDAIGUA, NY 14424-1722
(585) 394-1442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019354
NY
Other
Enumeration date
05/21/2013
Last updated
06/14/2013
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