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NPI Code Detail

MEDICARE: JONAH NEMETZ

MEDICARE: JONAH NEMETZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor18-P136911NY

General Provider Information

NPI Number : 1083556740
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONAH NEMETZ
Provider Business Mailing Address
First Line : 20 AMPERSAND DR
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-6500
Country : US
Telephone Number : 518-561-8480
Fax Number :
Provider Business Practice Location Address
First Line : 20 AMPERSAND DR
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-6500
Country : US
Telephone Number : 518-561-8480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ JONAH NEMETZ ” Practice Location

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