Individual
HENRY PHELPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
873 GRAND AVE, ROCHESTER, NY 14609-6546
(585) 259-5367
Mailing address
873 GRAND AVE, ROCHESTER, NY 14609-6546
(585) 259-5367
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
441543181
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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