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Search › New York › 363A00000X

Richard Jensen

NPI 1417963588 · on the registry since 2006 · sole proprietor

Practice

Address
3384 State Route 22
Peru, NY 12972
Phone
(518) 643-8008
Fax
(518) 643-8090
Organisation at this address
Adirondack Healthcare Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York