Individual
MICHAEL DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1691
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007550-1
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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