Individual
MS. ASHLEY-MARIE DIVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63972
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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