Individual
KIMBERLY JOY LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 PORTLAND AVE MOB, SUITE 245, ROCHESTER, NY 14621-3039
(585) 922-4496
Mailing address
1415 PORTLAND AVE STE 220, ROCHESTER, NY 14621-3039
(585) 922-4416
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
029390
NY
Other
Enumeration date
03/12/2022
Last updated
02/20/2025
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