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Individual

JOAN ECKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
332624
NY
363L00000X
Nurse Practitioner
Primary
F332624
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02371479
NY
01
NP0672
PREFERRED CARE
NY
01
P019332624
BLUE CHOICE
NY
Enumeration date
08/24/2006
Last updated
07/06/2023
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