Individual
JOAN PFEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F300855
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
300855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415983
—
NY
01
—
NP0413
PREFERRED CARE
NY
01
—
P019300855
BLUE CHOICE
NY
Enumeration date
08/14/2006
Last updated
08/26/2011
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