Individual
JUSTIN ROBERT WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1650 CHAMPLIN AVE, UTICA, NY 13502-4801
(315) 335-3285
Mailing address
50 CLINTON ST, NEW YORK MILLS, NY 13417-1517
(315) 335-3285
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
577086
NY
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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