Individual
MR. ZACHARY JOHN HOLLEY IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NYS PEER SPECIALIST
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(315) 713-9090
Mailing address
729 PICKERING ST APT 1, OGDENSBURG, NY 13669-3387
(315) 713-9090
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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