Individual
MOHAMED JAMIL MUNASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4214 CLINTON ST, WEST SENECA, NY 14224-5877
(716) 903-0008
Mailing address
4214 CLINTON ST, WEST SENECA, NY 14224-5877
(716) 903-0008
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X011908-1
NY
Other
Enumeration date
10/07/2010
Last updated
06/21/2011
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