Individual
JOHN W AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3636
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
212527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204428391
TAX ID
NY
Enumeration date
05/13/2006
Last updated
07/08/2007
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