Organization
JESSICA KURZDORFER NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN KURZDORFER PMHNP (NURSE PRACTITIONER/PRESIDENT)
(585) 360-7554
Entity
Organization
Contact information
Practice address
95 ALLENS CREEK RD STE 330, ROCHESTER, NY 14618-3246
(585) 360-7554
(949) 577-4708
Mailing address
59 ROWLEY ST, ROCHESTER, NY 14607-2630
(585) 360-7554
(949) 577-4708
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/23/2021
Last updated
12/12/2024
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