SearchNew York164W00000X

Jeremy Brong, LPN

NPI 1720411887 · on the registry since 2013 · sole proprietor

Practice

Address
5 Grange Pl
Apt B
Cortland, NY 13045
Phone
(607) 749-0267

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-13

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