Dr. Jeffrey M. Backer

NPI Provider: 1134202245
Contact Name: Kossoff Helene
Position: Practice Administrator
Phone: (518) 377-4431

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Dr. Jeffrey M. Backer Information:

Dr. Jeffrey M. Backer organization have npi 1134202245, taxonomy code is 122300000X with license number is 053596-1 in . This Business address located in 214 Mohawk Ave, Scotia, NY 12302 New York.

Practice Location
Address: 214 Mohawk Ave, Scotia, NY 12302
Phone: (518) 377-4431

Business Location
Address: 214 Mohawk Ave, Scotia, NY 12302
Phone: (518) 377-4431
Fax: (518) 377-0415

Taxonomy

Taxonomy Code: 122300000X

License Number: 053596-1

License Number of State: NY

Primary Taxonomy Switch: N

Enumeration Date: 10/23/2006

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