Jessica Lee Bamberg, MS, TOD

NPI #1386293645 in Victor, New York

Provider Information

NPI Number: 1386293645
Entity Type: Individual
Name: Jessica Lee Bamberg, MS, TOD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS, TOD
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 590 FISHERS STATION DR STE 130
City: Victor
State: New York
ZIP Code: 14564-9744
Phone: (585) 924-7207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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