Individual
JONATHAN DAVID SCROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2469 STATE ROUTE 19 N, WARSAW, NY 14569-9336
(585) 786-8505
(585) 786-8490
Mailing address
2469 STATE ROUTE 19 N, WARSAW, NY 14569-9336
(585) 786-8505
(585) 786-8490
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005950-1
NY
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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