Individual
MAXWELL NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 276-7190
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 276-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD049222
DC
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
331132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD049222
—
DC
Enumeration date
03/30/2017
Last updated
07/24/2024
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