Individual
JOSEPH D MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4193
(585) 922-4769
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016658
NY
Other
Enumeration date
07/09/2013
Last updated
05/09/2019
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