Basic Information
| Provider Information | |||||||||
| NPI: | 1386797421 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWMAN | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | ANP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2836 GREENHURST AVENUE | ||||||||
| Address2: | |||||||||
| City: | GREENHURST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168601446 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 MERIDIAN CENTER | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146231467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8663522356 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2007 | ||||||||
| LastUpdateDate: | 08/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | F304459-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.