Individual
CONNIE JO TONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
95 E CHAUTAUQUA ST, MAYVILLE, NY 14757
(716) 753-7107
(716) 753-5367
Mailing address
95 E CHAUTAUQUA ST, PO BOX 168, MAYVILLE, NY 14757
(716) 753-7107
(716) 753-5367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332057
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914814
—
NY
Enumeration date
07/11/2006
Last updated
02/29/2012
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