Individual
MR. NICHOLAS A BOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545-1468
(585) 402-0006
Mailing address
985 FURMAN RD, FAIRPORT, NY 14450-9189
(585) 402-0006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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