Individual
JONES CHICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
752105-1
NY
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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