| Doctor Name: | CONNIE JO TONGER |
| NPI Number: | 1467487413 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 332057 |
| Business Practice Address: | 95 E Chautauqua St Mayville, NY - 14757 |
| Business Phone Number: | 7167537107 |
| Business Fax Number: | 7167535367 |
| Mailing Address: | 95 E Chautauqua St, Po Box 168 MAYVILLE |
| State: | NY |
| Postal Code: | 14757 |
| Phone Number: | 7167537107 |
| Fax Number: | 7167535367 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 332057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |