Individual
DAVID WEGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1495 LAKE AVE, ROCHESTER, NY 14615-3007
(585) 392-1118
Mailing address
1495 LAKE AVE, ROCHESTER, NY 14615-3007
(585) 392-1118
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0667L002
NY
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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