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Individual

RICHARD LEIGHTON GUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7515
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
431736
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431736
NY

Other

Enumeration date
05/20/2020
Last updated
07/03/2023
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