Individual
MRS. BERNEDETTE LYNNE ROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 973-8600
(607) 962-5102
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005825-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01680726
—
NY
01
—
970020009
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/13/2006
Last updated
03/18/2021
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