JONATHAN RICHARD BASS

WEST ISLIP, NY
NPI1801539333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-13
Last Update Date2022-04-13
Business Address
JONATHAN RICHARD BASS DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
Mailing Address
JONATHAN RICHARD BASS DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number:
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