Individual
DR. JONATHAN GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
3180 WEST ST, CANANDAIGUA, NY 14424
(585) 394-1442
Mailing address
3180 WEST ST, CANANDAIGUA, NY 14424-1722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019354
NY
Other
Enumeration date
11/29/2011
Last updated
06/06/2018
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