Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 10, 2026
License(s)
F359919-01 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 601 ELMWOOD AVE | Rochester, NY 14642-0002 | |
| LOCATION | 601 ELMWOOD AVE | Rochester, NY 14642-0002 | 585-487-1700 |
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