Individual
JON AGRICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 GENESEE ST, UTICA, NY 13502-5809
(315) 374-1338
Mailing address
2202 GENESEE ST, UTICA, NY 13502-5809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
10/15/2018
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