Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Dec 5, 2017
License(s)
382806 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 KINGS HWY S | Rochester, NY 14617-5504 | 585-922-0553 |
| LOCATION | 1555 LONG POND RD | Rochester, NY 14626-4122 | 585-368-4006 |
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