Individual
MARIA ANATOLY DIZHGALVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6269
(585) 341-0018
Mailing address
1000 SOUTH AVENUE, ROCHESTER, NY 14620
(585) 473-2200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431126
NY
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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