Individual
BRIAN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1701 FRESHOUR RD., SHORTSVILLE, NY 14548-0143
(585) 747-3746
Mailing address
PO BOX 143, 1701 FRESHOUR RD., SHORTSVILLE, NY 14548-0143
(585) 747-3746
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291770-1
NY
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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