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Individual

ROBERT WILLIAM LAFAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
Mailing address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
691573
NY

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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