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General NPI Number Information
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NPI Number | 1467397679
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 137 SCOTT AVE
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City | WELLSVILLE
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State | NY
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Zip | 14895-1383
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Country | US
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Telephone | 585-296-5756
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Fax | 585-625-3465
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Provider Business Mailing Address
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Address Line | PO BOX 22803
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City | ROCHESTER
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State | NY
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Zip | 14692-2803
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Country | US
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Telephone | 585-296-5756
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Fax | 585-265-3465
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JASON M MONAHAN
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Credential | PHD, PMHNP-BC
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Telephone | 585-296-5756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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