Individual
JASON EMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 IROQUOIS DR, SALAMANCA, NY 14779-1361
(716) 945-2405
Mailing address
44 BERG LN, FREWSBURG, NY 14738-9588
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377279
—
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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