Individual
CHANNEL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
95 FREDERICK DR, ROCHESTER, NY 14624-3204
(585) 797-9968
Mailing address
95 FREDERICK DR, ROCHESTER, NY 14624-3204
(585) 797-9968
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337557-01
NY
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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