Individual
JEFFREY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
150 PRATHER AVE, JAMESTOWN, NY 14701-6710
(716) 488-1921
Mailing address
PO BOX 71, CONEWANGO VALLEY, NY 14726-0071
(716) 485-3591
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
482163
NY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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