Individual
RICHARD NOZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
(585) 922-1002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14467328
CAQH
NY
Enumeration date
06/10/2019
Last updated
01/06/2023
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