Individual
CALVIN L HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3349 MONROE AVE STE 158, ROCHESTER, NY 14618-5513
(585) 967-2869
Mailing address
PO BOX 20155, ROCHESTER, NY 14602-0155
(585) 967-2869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691970
NY
Other
Enumeration date
09/16/2019
Last updated
12/09/2019
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