Individual
MR. ARISTOPHER BO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
787237
NY
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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