Individual
CHAVONNE KOUASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 275-2647
(585) 275-0707
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-2647
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
304937
NY
Other
Enumeration date
06/27/2016
Last updated
07/31/2023
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