Individual
EVAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 HINCHEY RD, ROCHESTER, NY 14624-2930
(585) 953-9286
Mailing address
21 STEELE RD, VICTOR, NY 14564-9607
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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