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Jonathan David Scroger
Optician in Warsaw, New York
NPI 1457858763

Jonathan David Scroger is a Optician based in Warsaw, NY and is specialized in Optician. Jonathan David Scroger practices in Warsaw, NY. The NPI Number for Jonathan David Scroger is 1457858763 and holds a License No. 005950-1 (New York).

The current practice location address for Jonathan David Scroger is 2469 State Route 19 N, Warsaw, NY and can be reached out via phone at 585-786-8505 and via fax at 585-786-8490.

Location: 2469 State Route 19 N, Warsaw, NY, 14569-9336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457858763
Provider Name
Jonathan David Scroger
Credential
Provider Entity Type
Individual
Gender
Male
Address
2469 State Route 19 N, Warsaw, NY, 14569-9336
Phone Number
585-786-8505
Fax Number
585-786-8490
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2469 State Route 19 N
City
Warsaw
State
New York
Zip
14569-9336
Phone Number
585-786-8505
Fax Number
585-786-8490
person
Provider Business Mailing Address Details
Address
2469 State Route 19 N
City
Warsaw
State
New York
Zip
14569-9336
Phone Number
585-786-8505
Fax Number
585-786-8490
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
005950-1 (New York)
Definition
Definition to come...
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