Individual
NICHOLAS DONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4159
(585) 922-3731
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
639761
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
639761-1
NY
Other
Enumeration date
03/06/2017
Last updated
03/10/2026
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