| Jonathan Grasso | |
|
3180 West St Canandaigua NY 14424-1722 | |
| (585) 394-1442 | |
| Not Available |
| Full Name | Jonathan Grasso |
|---|---|
| Speciality | Psychologist |
| Location | 3180 West St, Canandaigua, New York |
| Authorized Official Name and Position | Jonathan Grasso (PSYCHOLOGIST) |
| Authorized Official Contact | 5853941442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Grasso 3180 West St Canandaigua NY 14424-1722 Ph: (585) 394-1442 | Jonathan Grasso 3180 West St Canandaigua NY 14424-1722 Ph: (585) 394-1442 |
| NPI Number | 1093151714 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 06/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093151714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 019354 (New York) | Primary |
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