Individual
ANTHONY CONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 275-2100
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E895672
MA
163W00000X
Registered Nurse
732525
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432676
NY
Other
Enumeration date
05/02/2023
Last updated
08/28/2023
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