Individual
GUST P VERLENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
890 E SECOND ST, JAMESTOWN, NY 14701
(716) 661-1583
Mailing address
880 E SECOND ST, JAMESTOWN, NY 14701
(716) 661-1583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006801
NY
363AM0700X
Medical Physician Assistant
Primary
006801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02341977
—
NY
Enumeration date
10/31/2005
Last updated
06/17/2008
About Stedi
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