Individual
MR. JACK RICHARD BROMSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 CRITTENDEN BLVD, PO BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-7327
(585) 273-1076
Mailing address
300 CRITTENDEN BLVD, PO BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-7327
(585) 273-1076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400-444
NY
Other
Enumeration date
08/05/2006
Last updated
06/19/2013
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