JACK RICHARD BROMSTED

ROCHESTER, NY
NPI1851300321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  400-444)
Enumeration Date2006-08-05
Last Update Date2013-06-19
Business Address
Mr. JACK RICHARD BROMSTED NP
300 CRITTENDEN BLVD PO BOX PSYCH
ROCHESTER, NY 14642-0001
Phone number: 585-275-7327
Mailing Address
Mr. JACK RICHARD BROMSTED NP
300 CRITTENDEN BLVD PO BOX PSYCH
ROCHESTER, NY 14642-0001
Phone number: 585-275-7327