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Individual

MARK R KUCHARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1385
(585) 244-7271
Mailing address
BOX 604, 601 ELWOOD AVE, ROCHESTER, NY 14642
(585) 275-1385
(585) 244-7271

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2268875
MA
367500000X
Certified Registered Nurse Anesthetist
509973
NY
367500000X
Certified Registered Nurse Anesthetist
509973-1
NY

Other

Enumeration date
10/07/2010
Last updated
07/06/2023
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