Most Relevant Information
Provider Data
| NPI Number: | 1003664855 |
| Provider Name: | JUSTINA DOLSON |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
159 W 1ST ST
OSWEGO
NY
131262045
Practice Location Phone/Fax
| Phone: | 3153429575 |
| Fax: |
Provider Mailing Location
152 CHELSEA DR
CORTLAND
NY
130453419
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |