Individual
ANN ELIZABETH ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022155-1
NY
2251P0200X
Pediatric Physical Therapist
022155
NY
2251P0200X
Pediatric Physical Therapist
022155-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022155
MONROE PLAN
—
01
—
P010022155
BLUE CHOICE
—
01
—
P020022155
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/20/2007
Last updated
01/27/2023
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