Individual
MR. JASON EDWARD BOVA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
308 FORSYTHE ST, CAMILLUS, NY 13031-2420
(315) 418-3170
Mailing address
308 FORSYTHE ST, CAMILLUS, NY 13031-2420
(315) 418-3170
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
004404
NY
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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