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Individual

JASON MATTHEW MONAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
168 S BROOKLYN AVE, WELLSVILLE, NY 14895-1456
(585) 259-2084
Mailing address
PO BOX 22803, ROCHESTER, NY 14692-2803
(585) 259-2084

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
511624
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403780
NY

Other

Enumeration date
07/23/2021
Last updated
09/03/2025
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