Individual
ROBERT D. NESTORYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 773-4597
Mailing address
110 ROGERS AVE, ENDICOTT, NY 13760-2929
(607) 768-4058
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
634391
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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