Individual
EVAN RYAN PRINTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 338-1400
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032353
NY
Other
Enumeration date
08/18/2022
Last updated
08/30/2024
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