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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN REVAI FENTON, CPSS

Active

JONATHAN REVAI FENTON, CPSS is a Peer Specialist healthcare provider located in UTICA, New York. NPI 1275244758 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · UTICA, NY

Registration Details

NPI Number
1275244758
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2022 (3.6539540627712 yrs)
Last Updated
Dec 6, 2022

Practice Information

Address
624 ELIZABETH ST
UTICA, NY, 135012413
Browse NY providers · Browse ZIP 13501
Phone
3159393176
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in UTICA, NY

Name Credential NPI
JAMES DIEFFENBACHER JR. 1245684539
DEAN RISCICA 1164876454
RACHEL LEE 1700231511
DANA SIMMONS 1689029340
DARREN TOY CRPA 1033829643
TRACY M SOMMER 1447961933
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.