Individual
JONATHAN STANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 WEST CLINTON PLAZA, ITHACA, NY 14850
(800) 676-4327
(315) 295-2153
Mailing address
112 KASSON RD, CAMILLUS, NY 13031-2271
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000036339
NY
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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