Doctor Name: | MR. JAMES R. PICKARD |
NPI Number: | 1144362575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 161165267 |
Business Practice Address: | 1075 Whiting Rd Jordan, NY - 130809749 |
Business Phone Number: | 3156893896 |
Business Fax Number: | 3156897280 |
Mailing Address: | 1075 Whiting Rd, JORDAN |
State: | NY |
Postal Code: | 130809749 |
Phone Number: | 3156893896 |
Fax Number: | 3156897280 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | 161165267 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |